Suppr超能文献

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

1
Mechanical thrombectomy for acute stroke in pregnancy.
Neuroradiol J. 2020 Apr;33(2):134-139. doi: 10.1177/1971400919900635. Epub 2020 Jan 27.
2
Foetal radiation exposure caused by mechanical thrombectomy in large-vessel ischaemic stroke in pregnancy.
Neuroradiology. 2019 Apr;61(4):443-449. doi: 10.1007/s00234-019-02163-7. Epub 2019 Feb 15.
3
Endovascular management of acute large vessel occlusion stroke in pregnancy is safe and feasible.
J Neurointerv Surg. 2020 Jun;12(6):552-556. doi: 10.1136/neurintsurg-2019-015578. Epub 2019 Dec 4.
5
Mechanical thrombectomy of intracranial internal carotid occlusion: pooled results of the MERCI and Multi MERCI Part I trials.
Stroke. 2007 Apr;38(4):1274-80. doi: 10.1161/01.STR.0000260187.33864.a7. Epub 2007 Mar 1.
7
Endovascular Thrombectomy for Treatment of Acute Ischemic Stroke During Pregnancy and the Early Postpartum Period.
Stroke. 2021 Dec;52(12):3796-3804. doi: 10.1161/STROKEAHA.121.034303. Epub 2021 Sep 20.
8
Mechanical Thrombectomy in Pregnancy: Report of 2 Cases and Review of the Literature.
Interv Neurol. 2017 Mar;6(1-2):49-56. doi: 10.1159/000453461. Epub 2017 Jan 19.
9
Endovascular Thrombectomy for Acute Ischemic Stroke: A Meta-analysis.
JAMA. 2015 Nov 3;314(17):1832-43. doi: 10.1001/jama.2015.13767.
10
Endovascular thrombectomy: 31 hours from symptom onset.
Pract Neurol. 2020 Feb;20(1):80-81. doi: 10.1136/practneurol-2019-002380. Epub 2020 Jan 7.

引用本文的文献

2
Outcomes of endovascular treatment for acute ischaemic stroke in Mater Dei Hospital, Malta.
Neuroradiol J. 2022 Apr;35(2):177-182. doi: 10.1177/19714009211034482. Epub 2021 Jul 27.

本文引用的文献

2
Stroke in Pregnancy: A Focused Update.
Anesth Analg. 2020 Apr;130(4):1085-1096. doi: 10.1213/ANE.0000000000004203.
3
Acute Ischemic Stroke in Late Pregnancy Treated with Intravenous Thrombolysis and Endovascular Therapy.
Case Rep Neurol. 2019 Feb 8;11(1):41-46. doi: 10.1159/000496084. eCollection 2019 Jan-Apr.
4
Management of stroke and pregnancy.
Eur Stroke J. 2018 Sep;3(3):227-236. doi: 10.1177/2396987318769547. Epub 2018 Apr 12.
5
Extended Window for Stroke Thrombectomy.
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.
J Stroke Cerebrovasc Dis. 2019 Jun;28(6):e75-e76. doi: 10.1016/j.jstrokecerebrovasdis.2019.02.015. Epub 2019 Mar 14.
7
Foetal radiation exposure caused by mechanical thrombectomy in large-vessel ischaemic stroke in pregnancy.
Neuroradiology. 2019 Apr;61(4):443-449. doi: 10.1007/s00234-019-02163-7. Epub 2019 Feb 15.
8
Uneventful Pregnancy and Delivery after Thrombolysis Plus Thrombectomy for Acute Ischemic Stroke: Case Study and Literature Review.
J Stroke Cerebrovasc Dis. 2019 Jan;28(1):70-75. doi: 10.1016/j.jstrokecerebrovasdis.2018.09.002. Epub 2018 Sep 27.
9
Mechanical Thrombectomy in Elderly Stroke Patients with Mild-to-Moderate Baseline Disability.
Interv Neurol. 2018 Apr;7(5):246-255. doi: 10.1159/000487333. Epub 2018 Mar 20.
10
Endovascular Management of Acute Stroke in the Elderly: A Systematic Review and Meta-Analysis.
AJNR Am J Neuroradiol. 2018 May;39(5):887-891. doi: 10.3174/ajnr.A5598. Epub 2018 Mar 22.

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验