Kan P T, Orion D, Yashar P, Levy E I
Department of 1Neurosurgery, School of Medicine and Biomedical Sciences, University at Buffalo, State University of New York, Buffalo, NY, USA.
J Neurosurg Sci. 2011 Jun;55(2):151-60.
Endovascular intraarterial (IA) strategies have emerged as important treatment options for patients with acute ischemic stroke who are ineligible for intravenous (IV) tissue plasminogen activator (tPA) or in whom such therapy has failed. The goal of this article is to provide a comprehensive review of percutaneous IA endovascular techniques aimed at revascularization in the setting of acute ischemic stroke from IA thrombolysis, mechanical thrombectomy, and primary intracranial stenting to retrievable-stent technology. For each modality, we focus on the existing clinical data, including our institutional experience and techniques.
血管内动脉内（IA）策略已成为急性缺血性卒中患者的重要治疗选择，这些患者不符合静脉注射（IV）组织纤溶酶原激活剂（tPA）的条件或该治疗失败。本文的目的是全面综述经皮IA血管内技术，这些技术旨在治疗急性缺血性卒中，包括IA溶栓、机械取栓、原发性颅内支架置入术以及可回收支架技术等血管再通方法。对于每种方式，我们重点关注现有的临床数据，包括我们机构的经验和技术。
