Catheter-based interventions for acute ischaemic stroke

被引:14
作者
Widimsky, Petr [1 ]
Hopkins, L. Nelson [2 ]
机构
[1] Charles Univ Prague, Fac Med 3, Cardioctr, Srobarova 50, Prague 10034 10, Czech Republic
[2] Univ Buffalo, Gates Vasc Inst, Buffalo, NY USA
关键词
Acute stroke; Catheter intervention; Thrombectomy; Stent-retriever; Neurologic outcome; INTRAVENOUS T-PA; ENDOVASCULAR TREATMENT; CAROTID-ARTERY; RANDOMIZED-TRIAL; EARLY MANAGEMENT; THERAPY; THROMBECTOMY; DEVICE; CARDIOLOGISTS; EMBOLECTOMY;
D O I
10.1093/eurheartj/ehv521
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Catheter-based interventions for acute ischaemic stroke currently include clot removal (usually from the medial cerebral artery) with modern stent-retrievers and in one of five patients (who have simultaneous or stand-alone internal carotid occlusion) also extracranial carotid intervention. Several recently published randomized trials clearly demonstrated superiority of catheter-based interventions (with or without bridging thrombolysis) over best medical therapy alone. The healthcare systems should adopt the new strategies for acute stroke treatment (including fast track to interventional lab) to offer the benefits to all suitable acute stroke patients.
引用
收藏
页码:3081 / 3089
页数:9
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