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妊娠期急性卒中的机械取栓治疗

Mechanical thrombectomy for acute stroke in pregnancy.

作者信息

Kular Saminderjit, Ram Ramya, Balian Vartan, Tse George, Coley Stuart, Jivraj Shenaaz, Nagaraja Sanjoy

机构信息

Department of Clinical Radiology, Sheffield Teaching Hospitals, Sheffield, UK.

Department of Obstetrics and Gynaecology, Sheffield Teaching Hospitals, Sheffield, UK.

出版信息

Neuroradiol J. 2020 Apr;33(2):134-139. doi: 10.1177/1971400919900635. Epub 2020 Jan 27.

Abstract

Several recent randomised control trials have shown adjunctive endovascular mechanical thrombectomy to be an effective and safe treatment for acute stroke superior to medical therapy alone. Despite this, questions remain over certain groups of patients that have been excluded from these studies, such as pregnant women. We believe this is a topic of increasing clinical significance with minimal data in the literature. In this article we discuss stroke in pregnancy and highlight the important technical considerations of endovascular mechanical thrombectomy, including minimising radiation exposure to the mother and fetus.

摘要

最近的几项随机对照试验表明,血管内机械取栓术作为急性中风的辅助治疗方法,比单纯药物治疗更有效、更安全。尽管如此,对于那些被排除在这些研究之外的特定患者群体,如孕妇,仍存在疑问。我们认为,这是一个临床意义日益增加但文献数据极少的话题。在本文中,我们讨论了妊娠期中风,并强调了血管内机械取栓术的重要技术考量,包括尽量减少对母亲和胎儿的辐射暴露。

相似文献

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Mechanical thrombectomy for acute stroke in pregnancy.妊娠期急性卒中的机械取栓治疗
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Endovascular thrombectomy: 31 hours from symptom onset.血管内血栓切除术:症状出现后31小时。
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本文引用的文献

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Stroke in Pregnancy: A Focused Update.妊娠卒中:重点更新。
Anesth Analg. 2020 Apr;130(4):1085-1096. doi: 10.1213/ANE.0000000000004203.
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Management of stroke and pregnancy.中风与妊娠的管理
Eur Stroke J. 2018 Sep;3(3):227-236. doi: 10.1177/2396987318769547. Epub 2018 Apr 12.
5
Extended Window for Stroke Thrombectomy.卒中血栓切除术的扩展时间窗
J Neurosci Rural Pract. 2019 Apr-Jun;10(2):294-300. doi: 10.4103/jnrp.jnrp_365_18.
6
Mechanical Thrombectomy for Acute Ischemic Stroke in Pregnancy.妊娠期急性缺血性卒中的机械取栓治疗
J Stroke Cerebrovasc Dis. 2019 Jun;28(6):e75-e76. doi: 10.1016/j.jstrokecerebrovasdis.2019.02.015. Epub 2019 Mar 14.

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