急性缺血性脑卒中的血管内治疗。

Endovascular treatment of acute ischemic stroke.

机构信息

Service of Diagnostic and Interventional Neuroradiology, Geneva University Hospitals, Geneva, Switzerland.

Department of Neurology, University Hospital of Zurich, Zurich, Switzerland.

出版信息

J Neurosurg Sci. 2021 Jun;65(3):259-268. doi: 10.23736/S0390-5616.20.05109-7. Epub 2020 Nov 27.

DOI:10.23736/S0390-5616.20.05109-7

PMID:33245221

Abstract

Endovascular treatment of acute ischemic stroke has become the first choice of treatment in large cerebral vessel occlusions, with a very high efficacy in terms of revascularization and reducing disability of affected patients. Revolutionizing acute therapy, it induced important paradigm shifts in the concepts of time and salvageable brain. In this review we focus on the current concepts of patient selection, imaging, techniques and perspectives of endovascular stroke treatment.

摘要

急性缺血性脑卒中的血管内治疗已成为大血管闭塞患者的首选治疗方法，在血管再通和降低患者残疾方面具有极高的疗效。它改变了急性治疗的模式，在时间和可挽救的脑组织概念上引发了重要的转变。在这篇综述中，我们重点介绍了血管内卒中治疗的当前患者选择、影像学、技术和前景的概念。