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急性再灌注治疗当前存在的差距。

Current gaps in acute reperfusion therapies.

作者信息

Nguyen Thanh N, Xiong Yunyun, Li Shuya, Abdalkader Mohamad, Chen Hui-Sheng

机构信息

Department of Neurology, Radiology, Boston Medical Center, Boston University Chobanian and Avedisian School of Medicine, Boston, Massachusetts, USA.

Department of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing.

出版信息

Curr Opin Neurol. 2025 Feb 1;38(1):3-9. doi: 10.1097/WCO.0000000000001337. Epub 2024 Nov 28.

DOI:10.1097/WCO.0000000000001337
PMID:39607026
Abstract

PURPOSE OF REVIEW

Advances in intravenous thrombolysis and endovascular thrombectomy have significantly reduced disability and improved outcomes associated with acute ischemic stroke.

RECENT FINDINGS

An expansion of indications for reperfusion therapies in select groups of patients to permit treatment in an extended time window, with large ischemic core, and with simplified imaging protocols have enabled a broader group of patients access to disability-sparing therapy. Cerebroprotection has had renewed development in the era of acute reperfusion.

SUMMARY

In this review, we highlight recent developments in stroke reperfusion research and related questions that are under study or remain unanswered.

摘要

综述目的

静脉溶栓和血管内血栓切除术的进展显著降低了急性缺血性卒中相关的残疾率并改善了预后。

最新发现

在特定患者群体中扩大再灌注治疗的适应症,以允许在更长的时间窗内、针对大面积缺血核心以及采用简化成像方案进行治疗,使得更多患者能够获得减少残疾的治疗。在急性再灌注时代,脑保护研究有了新的进展。

总结

在本综述中,我们重点介绍了卒中再灌注研究的最新进展以及正在研究或尚未解答的相关问题。

相似文献

1
Current gaps in acute reperfusion therapies.急性再灌注治疗当前存在的差距。
Curr Opin Neurol. 2025 Feb 1;38(1):3-9. doi: 10.1097/WCO.0000000000001337. Epub 2024 Nov 28.
2
Endovascular management of acute stroke.急性脑卒中的血管内治疗。
Lancet. 2024 Sep 28;404(10459):1265-1278. doi: 10.1016/S0140-6736(24)01410-7.
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Relative improvement in language vs. motor functions with reperfusion therapies for large vessel occlusion.大血管闭塞再灌注治疗后语言功能与运动功能的相对改善情况。
Sci Rep. 2025 Feb 24;15(1):6683. doi: 10.1038/s41598-025-90871-x.
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Acta Radiol. 2024 Aug;65(8):982-998. doi: 10.1177/02841851241255313. Epub 2024 Jun 5.
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Disparities in Access to Reperfusion Therapy for Acute Ischemic Stroke (DARTS): A Comprehensive Meta-Analysis of Ethnicity, Socioeconomic Status, and Geographical Factors.急性缺血性中风再灌注治疗可及性差异(DARTS):种族、社会经济地位和地理因素的综合荟萃分析
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Effect of Intravenous Tirofiban Versus Placebo on First-Pass Successful Reperfusion in Endovascular Stroke Thrombectomy: Insights From the RESCUE BT Randomized Clinical Trial.血管内血栓切除术治疗急性缺血性脑卒中患者中静脉注射替罗非班与安慰剂对首次再通效果的影响:来自 RESCUE BT 随机临床试验的见解。
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Intra-Arterial Urokinase After Endovascular Reperfusion for Acute Ischemic Stroke: The POST-UK Randomized Clinical Trial.急性缺血性卒中血管内再灌注后动脉内注射尿激酶:POST-UK随机临床试验
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Endovascular thrombectomy with versus without intravenous thrombolysis for acute ischaemic stroke.急性缺血性卒中血管内血栓切除术联合与不联合静脉溶栓治疗的比较
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Comparison of Thrombolysis In Cerebral Infarction (TICI) 2b and TICI 3 reperfusion in endovascular therapy for large ischemic anterior circulation strokes.对比急性大动脉闭塞性脑梗死血管内治疗中 TICI 2b 级与 TICI 3 级再通。
J Neurointerv Surg. 2024 Oct 14;16(11):1076-1082. doi: 10.1136/jnis-2023-020724.
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Successful Reperfusion With Intravenous Thrombolysis Preceding Mechanical Thrombectomy in Large-Vessel Occlusions.在大血管闭塞性病变中,机械取栓术前静脉溶栓成功实现再灌注。
Stroke. 2018 Jan;49(1):232-235. doi: 10.1161/STROKEAHA.117.019261. Epub 2017 Dec 6.

引用本文的文献

1
Endovascular therapy in large vessel occlusion stroke: navigating critical debates.大血管闭塞性卒中的血管内治疗:应对关键争议
Ann Med Surg (Lond). 2025 Jul 16;87(8):4721-4723. doi: 10.1097/MS9.0000000000003532. eCollection 2025 Aug.