Prajapati Chintan, Huded Vikram, Mahajan Niranjan, Kulkarni Anirudh
Division of Interventional Neurology, Department of Neurology, Mazumdar Shaw Medical Centre, Narayana Health City, Bengaluru, Karnataka, India.
Ann Indian Acad Neurol. 2022 Jul-Aug;25(4):606-615. doi: 10.4103/aian.aian_29_22. Epub 2022 Jun 9.
Large vessel occlusion stroke contributes to disability and mortality out of proportion to its incidence. Over time it was noted that intravenous thrombolysis alone was not sufficient for this stroke type. Slowly, endovascular approach and mechanical clot retrieval have come out to be the biggest advances in the field of neurology as well as modern medicine. Although the careful selection of patients is needed as standardized by landmark trials. At the same time, thrombectomy is now being studied in patients excluded by previous trials and is seemingly coming out be effective in the vast majority of patients with large vessel occlusions. Further, techniques and devices are getting refined day by day to achieve the maximum possible benefit.
大血管闭塞性卒中导致的残疾和死亡率与其发病率不成比例。随着时间的推移，人们注意到仅静脉溶栓对这种卒中类型并不足够。慢慢地，血管内治疗方法和机械取栓已成为神经病学领域以及现代医学中最大的进展。尽管需要像标志性试验所规范的那样仔细挑选患者。与此同时，目前正在对先前试验排除的患者进行取栓研究，而且似乎对绝大多数大血管闭塞患者都有效。此外，技术和设备日益完善，以实现最大可能的益处。
