Department of Radiology, University Hospitals of Cleveland, Case Western Reserve University, Cleveland, OH 44106, USA.
J Neurointerv Surg. 2012 Mar;4(2):87-93. doi: 10.1136/neurintsurg-2011-010243. Epub 2012 Jan 24.
To summarize and classify the evidence for the use of endovascular techniques in the treatment of patients with acute ischemic stroke.
Recommendations previously published by the American Heart Association (AHA) (Guidelines for the early management of adults with ischemic stroke (Circulation 2007) and Scientific statement indications for the performance of intracranial endovascular neurointerventional procedures (Circulation 2009)) were vetted and used as a foundation for the current process. Building on this foundation, a critical review of the literature was performed to evaluate evidence supporting the endovascular treatment of acute ischemic stroke. The assessment was based on guidelines for evidence based medicine proposed by the Stroke Council of the AHA and the University of Oxford, Centre for Evidence Based Medicine (CEBM). Procedural safety, technical efficacy and impact on patient outcomes were specifically examined.
总结和分类血管内技术在急性缺血性脑卒中患者治疗中的应用证据。
对美国心脏协会（AHA）先前发布的建议（《成人缺血性脑卒中早期管理指南》（Circulation 2007）和《颅内血管内神经介入操作适应证的科学声明》（Circulation 2009））进行了审查，并将其作为当前流程的基础。在此基础上，对文献进行了批判性回顾，以评估支持急性缺血性脑卒中血管内治疗的证据。评估基于 AHA 卒中委员会和牛津大学循证医学中心（CEBM）提出的循证医学指南。特别检查了程序安全性、技术疗效和对患者结局的影响。
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