Singh Jasmeet, Nguyen Thanh Ngoc
Department of Neurology, Boston Medical Center, Boston University School of Medicine, 72 East Concord, Boston, MA 02118, USA.
Emerg Med Clin North Am. 2012 Aug;30(3):695-712. doi: 10.1016/j.emc.2012.06.002.
Acute ischemic stroke is recognized as the third leading cause of death in the United States; improved treatments for management are important to reduce disability and death. The standard of care of acute stroke therapy has been reperfusion/recanalization of the occluded vessels using pharmacologic management, endovascular management, or a combination approach. Significant improvements have been made in the management with the use of endovascular therapy. This article reviews the literature on the endovascular and neurosurgical management of patients presenting with acute ischemic stroke and presents current evidence-based guidelines for endovascular or neurosurgical interventions outlined for management of ischemic stroke.
急性缺血性中风被认为是美国第三大死因；改善治疗方法对于减少残疾和死亡至关重要。急性中风治疗的护理标准一直是使用药物治疗、血管内治疗或联合方法对闭塞血管进行再灌注/再通。血管内治疗的应用使治疗有了显著改善。本文回顾了有关急性缺血性中风患者血管内和神经外科治疗的文献，并提出了目前基于证据的缺血性中风治疗血管内或神经外科干预指南。
