Harmon Taylor S, Hulsberg Paul C, McFarland Joseph R, Villescas Victoria V, Matteo Jerry
Radiology, University of Texas Medical Branch, Galveston, USA.
Interventional Radiology, University of Florida College of Medicine, Jacksonville, USA.
Cureus. 2019 Jan 7;11(1):e3842. doi: 10.7759/cureus.3842.
Stroke is the fifth leading cause of death in the United States and is one of the leading causes of patient disability. Treatments for intracranial intravascular damage as a result of stroke have evolved extensively over recent decades, as management has become increasingly innovative. Various prospective studies and years of data have refined the current guidelines for treatment of acute ischemic stroke (AIS) and also reflect on the novel interventions for stroke management. Nonetheless, AIS remains a difficult and multifactorial etiology of disease to treat. As physicians adapt evidence-based knowledge to their interventional management of patients with AIS, the accompanied use of intravascular devices, such as steerable microcatheters, reduces radiation and procedure time. Considering all of the applications for steerable microcatheters, the use of these devices for AIS interventions may be most necessary.
中风是美国第五大死因，也是导致患者残疾的主要原因之一。近几十年来，由于中风导致的颅内血管损伤的治疗方法有了广泛的发展，治疗手段也越来越创新。各种前瞻性研究和多年的数据完善了当前急性缺血性中风（AIS）的治疗指南，也反映了中风管理的新干预措施。尽管如此，AIS仍然是一种难以治疗且病因多因素的疾病。随着医生将循证知识应用于AIS患者的介入治疗中，可操控微导管等血管内设备的配套使用减少了辐射和手术时间。考虑到可操控微导管的所有应用，将这些设备用于AIS干预可能最为必要。
