Ng P P, Stevens E A, Skalabrin E J
Interventional Neuroradiology, University of Utah Health Sciences Center, Salt Lake City, Utah, USA.
J Med Imaging Radiat Oncol. 2008 Jun;52(3):201-7. doi: 10.1111/j.1440-1673.2008.01948.x.
Acute ischaemic stroke is among the leading causes of death and disability in developed societies. I.v. and intra-arterial thrombolysis, and mechanical thrombectomy carried out within the appropriate time window can result in superior clinical outcomes compared with traditional therapy consisting of anticoagulation and/or aspirin. In cases where thrombolysis and/or thrombectomy have not been proven effective or have failed to result in rapid clinical and/or angiographic improvement, novel intra-arterial strategies may be applied by experienced interventional neuroradiologists to achieve recanalization of recalcitrant vessel occlusions with good clinical outcomes.
急性缺血性中风是发达社会中导致死亡和残疾的主要原因之一。与由抗凝和/或阿司匹林组成的传统疗法相比，在适当的时间窗内进行静脉和动脉内溶栓以及机械取栓可带来更好的临床结果。在溶栓和/或取栓未被证明有效或未能导致快速临床和/或血管造影改善的情况下，经验丰富的介入神经放射科医生可采用新的动脉内策略，以实现难治性血管闭塞的再通并取得良好的临床效果。
