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招募急性冠状动脉团队对急性缺血性卒中患者进行紧急机械取栓术:一家当地医院的成功案例及团队模式

Recruiting an Acute Coronary Team to Perform Emergent Mechanical Thrombectomy in Acute Ischemic Stroke Patients: A Successful Case and Team Model in a Local Hospital.

作者信息

Meng Shih-Wei, Kuo Ruei-Cheng, Yang Hui-Jen, Lai Chao-Lun, Wu Chih-Cheng, Hsieh Mu-Yang

机构信息

Cardiovascular Center, National Taiwan University Hospital, Hsinchu Branch, Hsinchu.

College of Medicine, National Taiwan University, Taipei, Taiwan.

出版信息

Acta Cardiol Sin. 2018 Jan;34(1):99-103. doi: 10.6515/ACS.201801_34(1).20170730A.

DOI:10.6515/ACS.201801_34(1).20170730A
PMID:29375231
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5777950/
Abstract

Stroke treatment has entered a new era after the publication of multiple randomized trials involving the use of a stent retriever since 2015. In Taiwan, the demand for interventional neuroradiologists to perform mechanical thrombectomy is high. For this reason, providing this standard care requires reshaping of the care model. Here, we report our experience in recruiting an acute coronary care team to perform emergent mechanical thrombectomy, which is essential in a patient with acute ischemic stroke.

摘要

自2015年以来,多项涉及使用取栓支架的随机试验发表后,中风治疗进入了一个新时代。在台湾,对介入神经放射科医生进行机械取栓的需求很高。因此,提供这种标准治疗需要重塑护理模式。在此,我们报告我们招募急性冠脉护理团队进行紧急机械取栓的经验,这对急性缺血性中风患者至关重要。

相似文献

1
Recruiting an Acute Coronary Team to Perform Emergent Mechanical Thrombectomy in Acute Ischemic Stroke Patients: A Successful Case and Team Model in a Local Hospital.招募急性冠状动脉团队对急性缺血性卒中患者进行紧急机械取栓术:一家当地医院的成功案例及团队模式
Acta Cardiol Sin. 2018 Jan;34(1):99-103. doi: 10.6515/ACS.201801_34(1).20170730A.
2
Mechanical Thrombectomy of Acute Middle Cerebral Artery Occlusion Using Trans-Anterior Communicating Artery Approach.经前交通动脉途径对急性大脑中动脉闭塞进行机械取栓术。
World Neurosurg. 2018 Apr;112:46-52. doi: 10.1016/j.wneu.2018.01.038. Epub 2018 Jan 12.
3
Comparison of non-stent retriever and stent retriever mechanical thrombectomy devices for the endovascular treatment of acute ischemic stroke.比较非取栓支架和取栓支架机械血栓切除术装置在急性缺血性脑卒中血管内治疗中的应用。
J Neurosurg. 2017 Apr;126(4):1123-1130. doi: 10.3171/2016.2.JNS152086. Epub 2016 Apr 29.
4
Childhood acute basilar artery thrombosis successfully treated with mechanical thrombectomy using stent retrievers: case report and review of the literature.使用支架取栓器成功治疗儿童急性基底动脉血栓形成:病例报告及文献复习
Childs Nerv Syst. 2017 Feb;33(2):349-355. doi: 10.1007/s00381-016-3259-z. Epub 2016 Oct 4.
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Acute ischemic stroke in a child due to basilar artery occlusion treated successfully with a stent retriever.一名儿童因基底动脉闭塞导致急性缺血性卒中,使用取栓支架成功治疗。
BMJ Case Rep. 2015 Jul 6;2015:bcr2015011821. doi: 10.1136/bcr-2015-011821.
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Vessel perforation during withdrawal of Trevo ProVue stent retriever during mechanical thrombectomy for acute ischemic stroke.在急性缺血性脑卒中机械取栓期间,取出 Trevo ProVue 支架取出器时发生血管穿孔。
J Neurosurg. 2014 Oct;121(4):995-8. doi: 10.3171/2014.4.JNS132187. Epub 2014 Jun 13.
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Predictors of Good Outcome After Stent-Retriever Thrombectomy in Acute Basilar Artery Occlusion.急性基底动脉闭塞患者使用取栓支架取栓术后良好预后的预测因素
Stroke. 2015 Oct;46(10):2972-5. doi: 10.1161/STROKEAHA.115.010840. Epub 2015 Sep 1.
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First-line use of contact aspiration for thrombectomy versus a stent retriever for recanalization in acute cerebral infarction: The randomized ASTER study protocol.直接接触抽吸血栓切除术与支架取栓术用于急性脑梗死再通的一线治疗:随机 ASTER 研究方案。
Int J Stroke. 2018 Jan;13(1):87-95. doi: 10.1177/1747493017711948. Epub 2017 Jun 8.
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A leap forward in the endovascular management of acute basilar artery occlusion since the appearance of stent retrievers: a single-center comparative study.支架取栓器问世以来急性基底动脉闭塞血管内治疗的重大进展:单中心对比研究。
J Neurosurg. 2017 May;126(5):1578-1584. doi: 10.3171/2016.2.JNS151983. Epub 2016 Jun 3.
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Direct Aspiration versus Stent Retriever Thrombectomy for Acute Stroke: A Systematic Review and Meta-Analysis in 9127 Patients.急性卒中直接抽吸与支架取栓术:9127例患者的系统评价和荟萃分析
J Stroke Cerebrovasc Dis. 2019 May;28(5):1329-1337. doi: 10.1016/j.jstrokecerebrovasdis.2019.01.034. Epub 2019 Feb 14.

本文引用的文献

1
Optimizing endovascular stroke treatment: removing the microcatheter before clot retrieval with stent-retrievers increases aspiration flow.优化血管内卒中治疗:使用支架取栓器取栓前撤回微导管可增加抽吸流量。
J Neurointerv Surg. 2017 May;9(5):459-462. doi: 10.1136/neurintsurg-2016-012319. Epub 2016 Apr 15.
2
Optimizating Clot Retrieval in Acute Stroke: The Push and Fluff Technique for Closed-Cell Stentrievers.优化急性卒中的血栓清除:闭合细胞型取栓器的推压与蓬松技术
Stroke. 2015 Oct;46(10):2838-42. doi: 10.1161/STROKEAHA.115.010044. Epub 2015 Sep 15.
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Stroke. 2015 Oct;46(10):3020-35. doi: 10.1161/STR.0000000000000074. Epub 2015 Jun 29.
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Proposed methodology and classification of Infarct in New Territory (INT) after endovascular stroke treatment.梗死后新区梗死 (INT) 的拟议方法和分类。
J Neurointerv Surg. 2017 May;9(5):449-450. doi: 10.1136/neurintsurg-2015-011839. Epub 2015 Jun 16.
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Feasibility of combined surgical and endovascular carotid access for interventional treatment of ischemic stroke.联合外科手术和血管内颈动脉入路用于缺血性卒中介入治疗的可行性
J Neurointerv Surg. 2016 Jun;8(6):571-5. doi: 10.1136/neurintsurg-2015-011719. Epub 2015 Jun 15.
6
Endovascular Therapy Proven for Stroke – Finally!血管内治疗终于被证实对中风有效!
Heart Lung Circ. 2015 Aug;24(8):733-5. doi: 10.1016/j.hlc.2015.04.001. Epub 2015 Apr 21.
7
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.
8
Solitaire™ with the Intention for Thrombectomy as Primary Endovascular Treatment for Acute Ischemic Stroke (SWIFT PRIME) trial: protocol for a randomized, controlled, multicenter study comparing the Solitaire revascularization device with IV tPA with IV tPA alone in acute ischemic stroke.以血栓切除术为主要血管内治疗手段治疗急性缺血性卒中的Solitaire™(SWIFT PRIME)试验:一项随机对照多中心研究方案,比较Solitaire血管再通装置联合静脉注射组织型纤溶酶原激活剂(IV tPA)与单纯静脉注射IV tPA治疗急性缺血性卒中的疗效。
Int J Stroke. 2015 Apr;10(3):439-48. doi: 10.1111/ijs.12459.
9
A randomized trial of intraarterial treatment for acute ischemic stroke.急性缺血性脑卒中的动脉内治疗随机试验。
N Engl J Med. 2015 Jan 1;372(1):11-20. doi: 10.1056/NEJMoa1411587. Epub 2014 Dec 17.
10
Comparison of modern stroke thrombectomy approaches using an in vitro cerebrovascular occlusion model.使用体外脑血管闭塞模型对现代卒中血栓切除术方法的比较。
AJNR Am J Neuroradiol. 2015 Mar;36(3):547-51. doi: 10.3174/ajnr.A4149. Epub 2014 Nov 6.