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Stroke thrombectomy (± thrombolysis), and not thrombolysis alone, should be the gold standard for stroke treatment.卒中血栓切除术（±溶栓）而非单纯溶栓，应成为卒中治疗的金标准。
EuroIntervention. 2022 Apr 1;17(17):e1367-e1368. doi: 10.4244/EIJ-E-22-00002.
2
Intra-arterial thrombectomy: does invasive treatment lead to better outcomes than intravenous thrombolysis alone?动脉内血栓切除术：侵入性治疗是否比单纯静脉溶栓能带来更好的治疗效果？
Curr Cardiol Rep. 2015 Oct;17(10):82. doi: 10.1007/s11886-015-0639-z.
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Endovascular therapy including thrombectomy for acute ischemic stroke: A systematic review and meta-analysis with trial sequential analysis.急性缺血性卒中的血管内治疗包括血栓切除术：一项采用试验序贯分析的系统评价和荟萃分析
J Clin Neurosci. 2016 Jul;29:38-45. doi: 10.1016/j.jocn.2015.12.025. Epub 2016 Mar 2.
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Combined intravenous and endovascular treatment versus primary mechanical thrombectomy. The Italian Registry of Endovascular Treatment in Acute Stroke.联合静脉内和血管内治疗与直接机械取栓治疗。急性卒中血管内治疗意大利登记研究。
Int J Stroke. 2019 Dec;14(9):898-907. doi: 10.1177/1747493019851279. Epub 2019 May 24.
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Effect of mechanical thrombectomy alone or in combination with intravenous thrombolysis for acute ischemic stroke.单纯机械取栓与机械取栓联合静脉溶栓治疗急性缺血性脑卒中的效果。
J Neurol. 2018 Dec;265(12):2875-2880. doi: 10.1007/s00415-018-9073-7. Epub 2018 Oct 1.
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14th International Symposium on Thrombolysis, Thrombectomy and Acute Stroke Therapy: Proceedings and summary of discussions.第十四届国际血栓溶解、血栓切除术及急性脑卒中治疗研讨会：会议记录和讨论概要。
Int J Stroke. 2019 Jun;14(4):439-441. doi: 10.1177/1747493019838760. Epub 2019 Mar 28.
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Stroke: Stroke thrombolysis and thrombectomy-not stronger together?
Nat Rev Neurol. 2017 Apr;13(4):198-200. doi: 10.1038/nrneurol.2017.22. Epub 2017 Feb 24.
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Thrombolysis and thrombectomy in patients treated with dabigatran with acute ischemic stroke: Expert opinion.达比加群治疗急性缺血性卒中患者的溶栓和取栓治疗：专家意见
Int J Stroke. 2017 Jan;12(1):9-12. doi: 10.1177/1747493016669849. Epub 2016 Sep 30.
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Thrombectomy vs. Systemic Thrombolysis in Acute Embolic Stroke with High Clot Burden: A Retrospective Analysis.高血栓负荷急性栓塞性卒中的血栓切除术与全身溶栓治疗：一项回顾性分析
Rofo. 2015 Jul;187(7):555-60. doi: 10.1055/s-0034-1399222. Epub 2015 Apr 1.
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Safety of Endovascular Thrombectomy for Acute Ischaemic Stroke in Anticoagulated Patients Ineligible for Intravenous Thrombolysis.抗凝治疗且不符合静脉溶栓条件的急性缺血性卒中患者血管内血栓切除术的安全性
Cerebrovasc Dis. 2018;46(5-6):193-199. doi: 10.1159/000493801. Epub 2018 Nov 1.

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Cerebral Angiography and Neurobehavioral Patterns in a Non-human Primate Middle Cerebral Artery Occlusion Model.非人类灵长类动物大脑中动脉闭塞模型的脑血管造影和神经行为模式。
In Vivo. 2024 Sep-Oct;38(5):2245-2253. doi: 10.21873/invivo.13689.
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Neutrophil Extracellular Traps and Thrombolysis Resistance: New Insights for Targeting Therapies.中性粒细胞胞外诱捕网与溶栓抵抗：靶向治疗的新见解。
Stroke. 2024 Apr;55(4):963-971. doi: 10.1161/STROKEAHA.123.045225. Epub 2024 Mar 11.

本文引用的文献

1
Mechanical thrombectomy with retrievable stents and aspiration catheters for acute ischaemic stroke: a meta-analysis of randomised controlled trials.机械取栓联合可回收支架和抽吸导管治疗急性缺血性脑卒中的Meta 分析：随机对照试验研究
EuroIntervention. 2022 Apr 1;17(17):e1425-e1434. doi: 10.4244/EIJ-D-21-00343.
2
Direct to Angiography Suite Without Stopping for Computed Tomography Imaging for Patients With Acute Stroke: A Randomized Clinical Trial.直接进入血管造影套房，不停靠进行计算机断层成像，用于急性脑卒中患者：一项随机临床试验。
JAMA Neurol. 2021 Sep 1;78(9):1099-1107. doi: 10.1001/jamaneurol.2021.2385.
3
Comparing the Prognostic Impact of Age and Baseline National Institutes of Health Stroke Scale in Acute Stroke due to Large Vessel Occlusion.比较大血管闭塞性急性卒中患者年龄和基线国立卫生研究院卒中量表对预后的影响。
Stroke. 2021 Aug;52(9):2839-2845. doi: 10.1161/STROKEAHA.120.032364. Epub 2021 Jul 8.
4
Direct to Angiography vs Repeated Imaging Approaches in Transferred Patients Undergoing Endovascular Thrombectomy.直接血管造影与反复影像学方法在接受血管内血栓切除术的转院患者中的应用。
JAMA Neurol. 2021 Aug 1;78(8):916-926. doi: 10.1001/jamaneurol.2021.1707.
5
European Stroke Organisation (ESO) guidelines on intravenous thrombolysis for acute ischaemic stroke.欧洲卒中组织（ESO）急性缺血性卒中静脉溶栓指南。
Eur Stroke J. 2021 Mar;6(1):I-LXII. doi: 10.1177/2396987321989865. Epub 2021 Feb 19.
6
Interdisciplinary management of acute ischaemic stroke: Current evidence training requirements for endovascular stroke treatment. Position Paper from the ESC Council on Stroke and the European Association for Percutaneous Cardiovascular Interventions with the support of the European Board of Neurointervention.急性缺血性脑卒中的多学科管理：血管内卒中治疗的当前证据培训要求。ESC 卒中委员会和欧洲经皮心血管介入协会的立场文件，得到欧洲神经介入委员会的支持。
Eur Heart J. 2021 Jan 21;42(4):298-307. doi: 10.1093/eurheartj/ehaa833.
7
Access to and delivery of acute ischaemic stroke treatments: A survey of national scientific societies and stroke experts in 44 European countries.急性缺血性中风治疗的可及性与提供情况：对44个欧洲国家的国家科学学会和中风专家的一项调查
Eur Stroke J. 2019 Mar;4(1):13-28. doi: 10.1177/2396987318786023. Epub 2018 Jul 20.
8
European Stroke Organisation (ESO) - European Society for Minimally Invasive Neurological Therapy (ESMINT) Guidelines on Mechanical Thrombectomy in Acute Ischaemic StrokeEndorsed by Stroke Alliance for Europe (SAFE).欧洲卒中组织（ESO）-欧洲微创神经治疗学会（ESMINT）急性缺血性卒中机械取栓指南，由欧洲卒中联盟（SAFE）认可。
Eur Stroke J. 2019 Mar;4(1):6-12. doi: 10.1177/2396987319832140. Epub 2019 Feb 26.
9
A randomized trial of intraarterial treatment for acute ischemic stroke.急性缺血性脑卒中的动脉内治疗随机试验。
N Engl J Med. 2015 Jan 1;372(1):11-20. doi: 10.1056/NEJMoa1411587. Epub 2014 Dec 17.

Stroke thrombectomy (± thrombolysis), and not thrombolysis alone, should be the gold standard for stroke treatment.

作者信息

Widimský Petr, Kucera Dusan

机构信息

Cardiocenter, Third Faculty of Medicine, Charles University, and University Hospital Kralovske Vinohrady, Prague, Czech Republic.

出版信息

EuroIntervention. 2022 Apr 1;17(17):e1367-e1368. doi: 10.4244/EIJ-E-22-00002.

DOI:10.4244/EIJ-E-22-00002
PMID:35354552
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9896380/
Abstract
摘要