Đặc điểm hình ảnh và kết quả điều trị lấy huyết khối cơ học ở bệnh nhân nhồi máu não cấp do tắc đoạn m2 động mạch não giữa

Abstract

To describe imaging characteristics and results of mechanical thrombectomy in patients with M2 branch occlusion of the middle cerebral artery. This is a cross-sectional study on 38 patients with acute cerebral infarction due to M2 occlusion of the middle cerebral artery from 1/ 2018 to 6/2021 at the Center of Radiology - Bachmai Hospital. CT images revealed early signs of infarction including deletion of the insular band (26.5%), thrombosis increased density 67.6%, scroll groove deletion 44.1% and substance boundary deletion, gray white 47.1%. MRI images revealed 100% increased brain parenchymal signal on DWI, 50% increased vascular signal on FLAIR and 25% of cases increased brain parenchymal signal on FLAIR. The rate of patients with good revascularization after intervention (TICI 2b-3) was 89%. The percentage of patients with a good clinical recovery after three months (mRS =0-2) was 57.89%. Factors of early hospital admission within the first 3 hours and NIHSS scores influence the likelihood of good clinical recovery after 3 months.