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急性缺血性卒中的血管内介入治疗:最新证据、当前挑战与未来前景

Endovascular Interventions in Acute Ischemic Stroke: Recent Evidence, Current Challenges, and Future Prospects.

作者信息

Appireddy Ramana, Zerna Charlotte, Menon Bijoy K, Goyal Mayank

机构信息

Calgary Stroke Program, Department of Clinical Neurosciences, University of Calgary, Foothills Medical Centre, 1403 29th St NW, Calgary, AB, Canada.

Calgary Stroke Program, Department of Clinical Neurosciences, Hotchkiss Brain Institute, Cumming School of Medicine, University of Calgary, Foothills Medical Centre, 1403 29th St NW, Calgary, AB, Canada.

出版信息

Curr Atheroscler Rep. 2016 Jul;18(7):40. doi: 10.1007/s11883-016-0588-z.

DOI:10.1007/s11883-016-0588-z
PMID:27221502
Abstract

After many years of clinical research, endovascular thrombectomy has been conclusively proven to be an effective treatment in acute ischemic stroke. The evidence is compelling; however, it is generated in high volume stroke centers with stroke expertise. Challenges remain ahead on translating and implementing this evidence in routine clinical care across the world. The current evidence has opened up avenues for further research and innovation in this field. In this review, we will discuss the evolution of evidence on endovascular thrombectomy followed by a discussion of challenges and future prospects in this exciting field of stroke care.

摘要

经过多年的临床研究,血管内血栓切除术已被确凿证明是治疗急性缺血性中风的有效方法。证据很有说服力;然而,它是在拥有中风专业知识的高容量中风中心产生的。在全球范围内将这一证据转化并应用于常规临床护理方面,仍面临挑战。目前的证据为该领域的进一步研究和创新开辟了道路。在这篇综述中,我们将讨论血管内血栓切除术证据的演变,随后讨论这个令人兴奋的中风护理领域中的挑战和未来前景。

相似文献

1
Endovascular Interventions in Acute Ischemic Stroke: Recent Evidence, Current Challenges, and Future Prospects.急性缺血性卒中的血管内介入治疗:最新证据、当前挑战与未来前景
Curr Atheroscler Rep. 2016 Jul;18(7):40. doi: 10.1007/s11883-016-0588-z.
2
History, Evolution, and Importance of Emergency Endovascular Treatment of Acute Ischemic Stroke.急性缺血性脑卒中的急诊血管内治疗的历史、演变和重要性。
Curr Neurol Neurosci Rep. 2016 May;16(5):42. doi: 10.1007/s11910-016-0646-5.
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Outcome Evaluation of Acute Ischemic Stroke Patients Treated with Endovascular Thrombectomy: A Single-Institution Experience in the Era of Randomized Controlled Trials.血管内血栓切除术治疗急性缺血性卒中患者的疗效评估:随机对照试验时代的单机构经验
World Neurosurg. 2017 Mar;99:593-598. doi: 10.1016/j.wneu.2016.12.054. Epub 2016 Dec 23.
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Expert Rev Neurother. 2016 May;16(5):527-34. doi: 10.1586/14737175.2016.1168297. Epub 2016 Apr 7.
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Cardiol Rev. 2017 Nov/Dec;25(6):262-267. doi: 10.1097/CRD.0000000000000155.
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J Clin Neurosci. 2016 Jul;29:38-45. doi: 10.1016/j.jocn.2015.12.025. Epub 2016 Mar 2.

本文引用的文献

1
Endovascular thrombectomy after large-vessel ischaemic stroke: a meta-analysis of individual patient data from five randomised trials.血管内血栓切除术治疗大动脉闭塞性缺血性卒中的Meta 分析:来自五项随机试验的个体患者数据汇总分析
Lancet. 2016 Apr 23;387(10029):1723-31. doi: 10.1016/S0140-6736(16)00163-X. Epub 2016 Feb 18.
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Time-Dependent Computed Tomographic Perfusion Thresholds for Patients With Acute Ischemic Stroke.急性缺血性脑卒中患者的时间依赖性计算机断层扫描灌注阈值
Stroke. 2015 Dec;46(12):3390-7. doi: 10.1161/STROKEAHA.115.009250. Epub 2015 Oct 29.
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Neurothrombectomy trial results: stroke systems, not just devices, make the difference.
Int J Stroke. 2015 Oct;10(7):990-3. doi: 10.1111/ijs.12614.
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Thrombectomy assisted by carotid stenting in acute ischemic stroke management: benefits and harms.颈动脉支架置入辅助血栓切除术在急性缺血性卒中治疗中的利弊
J Neurol. 2015 Dec;262(12):2668-75. doi: 10.1007/s00415-015-7895-0. Epub 2015 Sep 7.
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Canadian Stroke Best Practice Recommendations: Hyperacute Stroke Care Guidelines, Update 2015.《加拿大卒中最佳实践建议:超急性卒中护理指南,2015年更新》
Int J Stroke. 2015 Aug;10(6):924-40. doi: 10.1111/ijs.12551. Epub 2015 Jul 6.
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2015 American Heart Association/American Stroke Association Focused Update of the 2013 Guidelines for the Early Management of Patients With Acute Ischemic Stroke Regarding Endovascular Treatment: A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association.2015年美国心脏协会/美国卒中协会对2013年急性缺血性卒中患者早期管理指南中血管内治疗部分的重点更新:美国心脏协会/美国卒中协会给医疗专业人员的指南
Stroke. 2015 Oct;46(10):3020-35. doi: 10.1161/STR.0000000000000074. Epub 2015 Jun 29.
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Therapeutic hypothermia for stroke: Where to go?用于中风的治疗性低温:何去何从?
Exp Neurol. 2015 Oct;272:67-77. doi: 10.1016/j.expneurol.2015.06.006. Epub 2015 Jun 6.
8
Role of imaging in current acute ischemic stroke workflow for endovascular therapy.成像在当前急性缺血性卒中血管内治疗工作流程中的作用。
Stroke. 2015 Jun;46(6):1453-61. doi: 10.1161/STROKEAHA.115.009160. Epub 2015 May 5.
9
Thrombectomy within 8 hours after symptom onset in ischemic stroke.发病 8 小时内进行缺血性脑卒中取栓治疗。
N Engl J Med. 2015 Jun 11;372(24):2296-306. doi: 10.1056/NEJMoa1503780. Epub 2015 Apr 17.
10
Stent-retriever thrombectomy after intravenous t-PA vs. t-PA alone in stroke.血管内溶栓联合支架取栓与单纯静脉溶栓治疗脑卒中的比较。
N Engl J Med. 2015 Jun 11;372(24):2285-95. doi: 10.1056/NEJMoa1415061. Epub 2015 Apr 17.