Liaw Nicholas, Liebeskind David
Department of Vascular Neurology, University of California, Los Angeles, 635 Charles E Young Drive South, Suite 225, Los Angeles, California, 90095-7334, USA.
F1000Res. 2020 Jun 5;9. doi: 10.12688/f1000research.21100.1. eCollection 2020.
Thrombolysis and mechanical thrombectomy have revolutionized the care of patients with acute ischemic stroke. The number of patients who can benefit from these treatments continues to increase as new studies demonstrate that not just time since stroke onset but also collateral circulation influences outcome. Technologies such as telestroke, mobile stroke units, and artificial intelligence are playing an increasing role in identifying and treating stroke. Stroke-systems-of-care models continue to streamline the delivery of definitive revascularization in the age of mechanical thrombectomy.
溶栓和机械取栓彻底改变了急性缺血性脑卒中患者的治疗方式。随着新研究表明，不仅卒中发作后的时间，而且侧支循环也会影响预后，能够从这些治疗中获益的患者数量持续增加。远程卒中、移动卒中单元和人工智能等技术在识别和治疗卒中方面发挥着越来越重要的作用。在机械取栓时代，卒中医疗系统模式继续简化确定性血管重建的实施。
