Kular Saminderjit, Ram Ramya, Balian Vartan, Tse George, Coley Stuart, Jivraj Shenaaz, Nagaraja Sanjoy
Department of Clinical Radiology, Sheffield Teaching Hospitals, Sheffield, UK.
Department of Obstetrics and Gynaecology, Sheffield Teaching Hospitals, Sheffield, UK.
Neuroradiol J. 2020 Apr;33(2):134-139. doi: 10.1177/1971400919900635. Epub 2020 Jan 27.
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.
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。