Endovascular Treatment of Acute Stroke

被引:7
作者
Giles, James A. [1 ]
Vellimana, Ananth K. [1 ,2 ,3 ]
Adeoye, Opeolu M. [4 ,5 ]
机构
[1] Washington Univ, Sch Med, Dept Neurol, St Louis, MO 63110 USA
[2] Washington Univ, Sch Med, Dept Neurosurg, St Louis, MO USA
[3] Washington Univ, Sch Med, Dept Radiol, St Louis, MO 63110 USA
[4] Washington Univ, Sch Med, Dept Emergency Med, 660 S Euclid Ave,Campus,Box 8072, St Louis, MO 63110 USA
[5] Washington Univ, Sch Med, Emergency Med, 660 S Euclid Ave,Campus,Box 8072, St Louis, MO 63110 USA
关键词
Stroke; Thrombectomy; Large-vessel occlusion; ACUTE ISCHEMIC-STROKE; LARGE VESSEL OCCLUSION; STENT-RETRIEVER THROMBECTOMY; MECHANICAL THROMBECTOMY; ASPIRATION THROMBECTOMY; SYMPTOM ONSET; OPEN-LABEL; MULTICENTER; THERAPY; TIME;
D O I
10.1007/s11910-022-01168-9
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Purpose of Review In the USA, around 30% of 795,000 strokes per year are due to proximal large-vessel occlusion, and these are a major cause of death and disability. We review the most recent advances regarding treatment of ischemic stroke amenable to mechanical thrombectomy. Recent Findings In the last four years, clinical trial evidence has expanded the time window for successful endovascular treatment to 24 h. Current research is aimed at expanding patient selection to mild strokes, large ischemic cores and occlusions of smaller, more distal blood vessels. Further, we have developed understanding of how to manage blood pressure after thrombectomy and even had promising results for a neuroprotective agent in these patients. Thrombectomy has transformed the treatment of ischemic stroke due to large-vessel occlusion. Recent research has focused on expanding patient candidacy for endovascular treatment and improving medical management to support better neurologic outcomes.
引用
收藏
页码:83 / 91
页数:9
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