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[急性缺血性卒中的血管内治疗]

[Endovascular treatment of acute ischemic stroke].

作者信息

Aronov M S, Popugaev K A, Udalov Yu D, Samoylov A S

机构信息

Burnasyan Federal Medical Biophysical Center of Federal Medical Biological Agency, Moscow, Russia.

出版信息

Zh Vopr Neirokhir Im N N Burdenko. 2018;82(4):103-108. doi: 10.17116/neiro2018824103.

Abstract

Ischemic stroke is one of the leading causes of mortality and disability in the population of developed countries. Revascularization of the affected cerebral territory improves the prognosis and reduces mortality, which has been proven by randomized studies using systemic thrombolysis protocols. Over the last ten years, endovascular mechanical thrombus extraction using stent retrievers and/or aspiration neurointerventional catheters has been introduced into the clinical treatment of ischemic stroke, and after reporting the results of randomized studies on this topic, the technique has become ubiquitous. This work objective was to systematize the results of key studies on the treatment of acute ischemic stroke in chronological order, including the latest data of 2018.

摘要

缺血性中风是发达国家人群中导致死亡和残疾的主要原因之一。受影响脑区的血管再通可改善预后并降低死亡率,这已通过使用全身溶栓方案的随机研究得到证实。在过去十年中,使用支架取栓器和/或抽吸神经介入导管进行血管内机械血栓清除已被引入缺血性中风的临床治疗,在报告了关于该主题的随机研究结果后,该技术已变得无处不在。这项工作的目的是按时间顺序整理急性缺血性中风治疗关键研究的结果,包括2018年的最新数据。

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