Arimura Koichi, Iihara Koji
Nihon Rinsho. 2016 Apr;74(4):621-6.
Recently, several new randomized controlled trials have been reported which showed the efficacy of neuroendovascular therapy for acute ischemic stroke. Confirming the major vessel occlusion in the proximal anterior circulation, limited ischemic core and preserved ischemic penumbra, using stent retrievers to achieve successful reperfusion, and shortening the onset-to-reperfusion time were the essential factors to achieve good clinical outcome. With these new evidences, it has been proved that neuroendovascular therapy became one of the standard treatments for acute ischemic stroke.
最近，已有多项新的随机对照试验报告显示神经血管内治疗对急性缺血性卒中有效。确定近端前循环的主要血管闭塞、有限的缺血核心和保留的缺血半暗带、使用取栓支架实现成功再灌注以及缩短发病至再灌注时间是取得良好临床结果的关键因素。有了这些新证据，已证明神经血管内治疗已成为急性缺血性卒中的标准治疗方法之一。
