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急性心肌梗死和重大卒中的经皮治疗：两条并行之路。

Percutaneous treatments of acute myocardial infarction and major stroke: Two parallel roads.

作者信息

Vizzari Giampiero, Versaci Francesco, Nicosia Antonino

机构信息

Cardiology Unit, "Giovanni Paolo II" Hospital of Ragusa, Ragusa, Italy.

Department of Clinical and Experimental Medicine, University of Messina, Messina, Italy.

出版信息

JRSM Cardiovasc Dis. 2019 Aug 8;8:2048004019869162. doi: 10.1177/2048004019869162. eCollection 2019 Jan-Dec.

DOI:10.1177/2048004019869162
PMID:31452876
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6700859/
Abstract

Neurological and cardiovascular ischemic diseases represent the main causes of morbidity and mortality in the world. Physiopathological mechanisms present several similarities, based on "thromboembolic" events, as well as the pharmacological and percutaneous treatment options. We report a case of contemporary presentation of acute coronary and cerebral syndromes, successfully managed with a combined percutaneous intervention driven by the emergency setting. Whereas invasive revascularization represents nowadays the "gold standard" therapy for acute coronary syndromes, catheter-based treatment of acute stroke is not yet widespread and still under debate.

摘要

神经和心血管缺血性疾病是全球发病和死亡的主要原因。基于“血栓栓塞”事件，其生理病理机制存在若干相似之处，药物治疗和经皮治疗方案也是如此。我们报告了一例急性冠状动脉综合征和脑综合征同时出现的病例，通过在急诊情况下进行的联合经皮介入治疗成功得到处理。如今，侵入性血管重建是急性冠状动脉综合征的“金标准”治疗方法，而基于导管的急性中风治疗尚未广泛应用，仍存在争议。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fa94/6700859/2b6bbab9c04b/10.1177_2048004019869162-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fa94/6700859/5d1e9a7b4f4b/10.1177_2048004019869162-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fa94/6700859/2b6bbab9c04b/10.1177_2048004019869162-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fa94/6700859/5d1e9a7b4f4b/10.1177_2048004019869162-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fa94/6700859/2b6bbab9c04b/10.1177_2048004019869162-fig2.jpg

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本文引用的文献

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2017 ESC focused update on dual antiplatelet therapy in coronary artery disease developed in collaboration with EACTS: The Task Force for dual antiplatelet therapy in coronary artery disease of the European Society of Cardiology (ESC) and of the European Association for Cardio-Thoracic Surgery (EACTS).2017年欧洲心脏病学会（ESC）与欧洲心胸外科学会（EACTS）合作制定的冠状动脉疾病双联抗血小板治疗重点更新：欧洲心脏病学会（ESC）和欧洲心胸外科学会（EACTS）冠状动脉疾病双联抗血小板治疗特别工作组。
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JAMA. 2015 Nov 3;314(17):1832-43. doi: 10.1001/jama.2015.13767.
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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.
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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。
N Engl J Med. 2015 Jun 11;372(24):2285-95. doi: 10.1056/NEJMoa1415061. Epub 2015 Apr 17.
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Randomized assessment of rapid endovascular treatment of ischemic stroke.随机评估缺血性脑卒中的血管内治疗。
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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。
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