Objective To evaluate the effect of acute arterial ischemic stroke patients with atrial fibrillation in embolectomy and thrombolytic therapy with intravenous rt-PA which benefit more. Methods Consecutive patients from January 2012 to December 2016 to the Baotou Central Hospital for treatment of acute ischemic stroke with atrial fibrillation. The study group included direct arterial embolectomy and thrombolysis interventional therapy bridging collected 20 cases; the control group received intravenous thrombolysis group. According to the patient treatment group, compared with the general situation, the history of stroke risk factors, onset to treatment time, admission, immediately after surgery, postoperative 24h, postoperative 72h NIHSS score, 90dmRS score, complications, mortality and other indicators, evaluation for arteries from Suppository, intravenous thrombolysis bridged endovascular treatment, curative effect, simple intravenous thrombolysis and three treatment safety, nerve function recovery of patients.
Results 68 cases with atrial fibrillation were recruited, the study group of 34 cases, 24 cases were selected into the thrombectomy group, 10 cases were bridging group (intravenous thrombolysis bridging artery stent thrombectomy), the control group of 34 cases, 2 cases were lost, 32 cases were effective. The results showed that no significant difference between the two group survival of patients, the difference was not statistically significant. Excluding the preoperative NIHSS score ≤7 cases, results showed that the two groups had no significant difference in the survival of patients. Conclusion With atrial fibrillation in patients with AIS artery embolectomy and thrombolytic therapy can benefit. But no obvious benefit in bridging artery embolectomy intravenous thrombolytic therapy.

Analysis of atrial fibrillation with thrombectomy for acute ischemic stroke and the effect of intravenous thrombolytic therapy