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呼吁神经科医生开展中风干预治疗。

A call for neurologists to take up stroke intervention.

作者信息

Padma Vasantha M, Bhatia Rohit, Kuruttukulam Gigy, Alurkar Anand, Talwar Kewal Krishan, Khurana Dheeraj, Kaul Subhash, Suri Vinit, Singh Gagandeep, Huded Vikram

机构信息

Department of Neurology, All India Institute of Medical Sciences, New Delhi, India.

Department of Neurology, Lakeshore Hospital, Kochi, Kerala, India.

出版信息

Ann Indian Acad Neurol. 2016 Oct-Dec;19(4):429-432. doi: 10.4103/0972-2327.194408.

DOI:10.4103/0972-2327.194408
PMID:27994348
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5144460/
Abstract

Recent data have provided overwhelming evidence in favor of benefits of emergent endovascular intervention in large vessel acute ischemic stroke (AIS). India with its large population has a huge burden of AIS. Hence, neurologists need to gear up to the new challenge of providing interventional care to huge populations of AIS in the country. The best way to cover this unprecedented unmet need is to encourage neurologists to take up interventional subspecialty interests through new but sound training pathways.

摘要

最近的数据提供了压倒性的证据,支持对大血管急性缺血性卒中(AIS)进行紧急血管内介入治疗的益处。印度人口众多,AIS负担巨大。因此,神经科医生需要做好准备,应对为该国大量AIS患者提供介入治疗这一新挑战。满足这一前所未有的未被满足的需求的最佳方法是鼓励神经科医生通过新的但合理的培训途径,培养介入亚专业兴趣。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be28/5144460/efd7eea2da20/AIAN-19-429-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be28/5144460/efd7eea2da20/AIAN-19-429-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be28/5144460/efd7eea2da20/AIAN-19-429-g002.jpg

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本文引用的文献

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GREAT-a randomized controlled trial comparing HydroSoft/HydroFrame and bare platinum coils for endovascular aneurysm treatment: procedural safety and core-lab-assessedangiographic results.GREAT——一项比较HydroSoft/HydroFrame和裸铂线圈用于血管内动脉瘤治疗的随机对照试验:手术安全性及核心实验室评估的血管造影结果
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REVASCAT Trial: Further Advancement in Endovascular Stroke Therapy.REVASCAT试验:血管内卒中治疗的进一步进展。
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Evolution of Endovascular Therapy in Acute Stroke: Implications of Device Development.
急性脑卒中血管内治疗的演变:器械研发的影响。
J Stroke. 2015 May;17(2):127-37. doi: 10.5853/jos.2015.17.2.127. Epub 2015 May 29.
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Endovascular Mechanical Thrombectomy for Acute Ischemic Stroke: A New Standard of Care.急性缺血性脑卒中的血管内机械取栓:一种新的治疗标准。
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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。
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Endovascular therapy for ischemic stroke with perfusion-imaging selection.血管内治疗缺血性卒中的灌注成像选择。
N Engl J Med. 2015 Mar 12;372(11):1009-18. doi: 10.1056/NEJMoa1414792. Epub 2015 Feb 11.
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Stroke epidemiology and stroke care services in India.印度的中风流行病学和中风护理服务。
J Stroke. 2013 Sep;15(3):128-34. doi: 10.5853/jos.2013.15.3.128. Epub 2013 Sep 27.
8
Applicability of stroke-unit care to low-income and middle-income countries.卒中单元护理在中低收入国家的适用性。
Lancet Neurol. 2012 Apr;11(4):341-8. doi: 10.1016/S1474-4422(12)70024-8. Epub 2012 Mar 19.
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Impact of stroke unit care: an Indian perspective.卒中单元护理的影响:印度视角
Int J Stroke. 2011 Aug;6(4):372-3. doi: 10.1111/j.1747-4949.2011.00626.x.
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Feasibility study of stroke surveillance: data from Bangalore, India.中风监测的可行性研究:来自印度班加罗尔的数据。
Indian J Med Res. 2009 Oct;130(4):396-403.