Guidelines for mechanical thrombectomy in acute ischemic stroke - version 2019

被引：12

作者：

Sanak, D. ^{[1
,2
,18
]}

Mikulik, R. ^{[1
,3
,18
]}

Tomek, A. ^{[1
,4
,18
]}

Bar, M. ^{[1
,5
,18
]}

Herzig, R. ^{[1
,6
,18
]}

Neumann, J. ^{[1
,7
,18
]}

Skoda, O. ^{[1
,8
,9
,18
]}

Skoloudik, D. ^{[1
,10
,18
]}

Vaclavik, D. ^{[1
,11
,18
]}

Roceku, M. ^{[12
,13
]}

Krajina, A. ^{[12
,14
]}

Kocher, M. ^{[12
,15
]}

Charvat, F. ^{[12
,16
]}

Padr, R. ^{[12
,13
]}

Cihlar, F. ^{[12
,17
]}

机构：

[1] Ceske Neurol Spolecnosti CLS JEP, Cerebrovaskularni Sekce, Prague, Czech Republic

[2] LF UP & FN Olomouc, Komplexni Cerebrovaskularni Ctr, Neurol Klin, Olomouc, Czech Republic

[3] LF MU & FN Sv Anny Brne, Komplexni Cerebrovaskularni Ctr, Neurol Klin, Brno, Czech Republic

[4] LF UK & FN Motol, Komplexni Cerebrovaskularni Ctr 2, Neurol Klin, Prague, Czech Republic

[5] LF OU & FN Ostrava, Komplexni Cerebrovaskularni Ctr, Neurol Klin, Ostrava, Czech Republic

[6] LF UK & FN Hradec Kralove, Komplexni Cerebrovaskularni Ctr, Neurol Klin, Hradec Kralove, Czech Republic

[7] Nemocnice Chomutov, Krajska Zdravotni AS, Neurol Oddeleni, Chomutov, Czech Republic

[8] Nemocnice Jihlava, Neurol Oddeleni, Jihlava, Czech Republic

[9] LF UK & FN Kralovske Vinohrady, Neurol Klin 3, Prague, Czech Republic

[10] UP Olomouc, Ctr Vedy & Vyzkumu, Fak Zdravotnich Ved, Olomouc, Czech Republic

[11] Vitkovicka Nemocnice & Vzdelavaci & Vyzkumny Inst, Neurol Oddeleni, Ostrava, Czech Republic

[12] Ceske Spolecnosti Intervencni Radiol CLS JEP, Sekce Intervencni Neuroradiol, Prague, Czech Republic

[13] LF UK & FN Motol, Radiol Klin, Komplexni Cerebrovaskularni Ctr 2, Prague, Czech Republic

[14] LF UK & FN Hradec Kralove, Komplexni Cerebrovaskularni Ctr, Radiol Klin, Hradec Kralove, Czech Republic

[15] LF UP & FN Olomouc, Komplexni Cerebrovaskularni Ctr, Radiol Klin, Olomouc, Czech Republic

[16] Ustredni Vojenska Nemocnice, Radiol Oddeleni, Prague, Czech Republic

[17] Masarykova Nemocnice, Radiol Oddeleni, Krajska Zdravotni AS, Usti Nad Labem, Czech Republic

[18] FN Olomouc, Neurol Klin, FESO, IP Pavlova 6, Olomouc 77520, Czech Republic

来源：

CESKA A SLOVENSKA NEUROLOGIE A NEUROCHIRURGIE | 2019年 / 82卷 / 06期

关键词：

mechanical thrombectomy; ischemic stroke; cerebral arterial occlusion; recommendations; ENDOVASCULAR TREATMENT; CONSCIOUS SEDATION; GENERAL-ANESTHESIA; MANAGEMENT; THERAPY;

D O I：

10.14735/amcsnn2019700

中图分类号：

Q189 [神经科学];

学科分类号：

071006 ;

摘要：

Mechanical thrombectomy (MT) of symptomatic cerebral arterial occlusion in the anterior circulation is a standard treatment in acute Ischemic stroke (IS) with the first 6 h of stroke onset. Acute IS due to basilar artery occlusion represents a generally accepted exception, when MT may be performed beyond the 6 h of symptoms onset as a life-threating intervention. Results of two randomized clinical trials published in 2018 showed clinical benefits and efficacy of MT in the treatment of acute symptomatic cerebral arterial occlusion even beyond the standard therapeutic time window in IS patients selected according to the size of ischemic penumbra or ischemic core. Positive results of these two trials, new recommendations of the American Heart Association/American Stroke Association from 2018 and of the European Stroke Organisation and the European Society for Minimally Invasive Neurological Therapy published in March 2019 led to a need of updating valid Czech recommendations for MT of IS from 2016. Presented recommendations are the consensual statement of the committees of the Czech Stroke Society (a part of the Czech Neurological Society CMA JEP) and of the Czech Neurointerventional Society (a part of the Czech Society of Interventional Radiology CMA JEP).

引用

页码：700 / 705

页数：6

共 14 条

[1] Thrombectomy for Stroke at 6 to 16 Hours with Selection by Perfusion Imaging [J].

Albers, G. W. ;

Marks, M. P. ;

Kemp, S. ;

Christensen, S. ;

Tsai, J. P. ;

Ortega-Gutierrez, S. ;

McTaggart, R. A. ;

Torbey, M. T. ;

Kim-Tenser, M. ;

Leslie-Mazwi, T. ;

Sarraj, A. ;

Kasner, S. E. ;

Ansari, S. A. ;

Yeatts, S. D. ;

Hamilton, S. ;

Mlynash, M. ;

Heit, J. J. ;

Zaharchuk, G. ;

Kim, S. ;

Carrozzella, J. ;

Palesch, Y. Y. ;

Demchuk, A. M. ;

Bammer, R. ;

Lavori, P. W. ;

Broderick, J. P. ;

Lansberg, M. G. .

NEW ENGLAND JOURNAL OF MEDICINE, 2018, 378 (08) :708-718

[2]

[Anonymous], VESTNIK MINISTERSTVA

[3]

[Anonymous], VESTNIK MINISTERSTVA

[4] Mechanical Thrombectomy in Patients with Acute Ischemic Stroke on Anticoagulation Therapy [J].

Cernik, David ;

Sanak, Daniel ;

Divisova, Petra ;

Kocher, Martin ;

Cihlar, Filip ;

Zapletalova, Jana ;

Veverka, Tomas ;

Prcuchova, Andrea ;

Ospalik, Dusan ;

Cerna, Marie ;

Janousova, Petra ;

Kral, Michal ;

Dornak, Tomas ;

Prasil, Vojtech ;

Franc, David ;

Kanovsky, Petr .

CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY, 2018, 41 (05) :706-711

[5] General Anesthesia Versus Conscious Sedation for Endovascular Treatment of Acute Ischemic Stroke The AnStroke Trial (Anesthesia During Stroke) [J].

Henden, Pia Loehagen ;

Rentzos, Alexandros ;

Karlsson, Jan-Erik ;

Rosengren, Lars ;

Leiram, Birgitta ;

Sundeman, Henrik ;

Dunker, Dennis ;

Schnabel, Kunigunde ;

Wikholm, Gunnar ;

Hellstrom, Mikael ;

Ricksten, Sven-Erik .

STROKE, 2017, 48 (06) :1601-+

[6] Safety and efficacy of mechanical thrombectomy with stent-retrievers in anticoagulated patients with anterior circulation stroke [J].

Krajickova, D. ;

Krajina, A. ;

Herzig, R. ;

Vitkova, E. ;

Haluskova, S. ;

Vysata, O. ;

Cabelkova, P. ;

Valis, M. .

CLINICAL RADIOLOGY, 2019, 74 (02) :165.e11-165.e16

[7] Anesthetic management of endovascular treatment for acute ischemic stroke: Influences on outcome and complications [J].

Laranjo Tinoco, Catarina Sousa ;

Carvalho dos Santos, Patricia Marlene .

REVISTA BRASILEIRA DE ANESTESIOLOGIA, 2018, 68 (06) :613-623

[8]

Neumann J, 2014, CESK SLOV NEUROL N, V77, P381

[9] Thrombectomy 6 to 24 Hours after Stroke with a Mismatch between Deficit and Infarct [J].

Nogueira, R. G. ;

Jadhav, A. P. ;

Haussen, D. C. ;

Bonafe, A. ;

Budzik, R. F. ;

Bhuva, P. ;

Yavagal, D. R. ;

Ribo, M. ;

Cognard, C. ;

Hanel, R. A. ;

Sila, C. A. ;

Hassan, A. E. ;

Millan, M. ;

Levy, E. I. ;

Mitchell, P. ;

Chen, M. ;

English, J. D. ;

Shah, Q. A. ;

Silver, F. L. ;

Pereira, V. M. ;

Mehta, B. P. ;

Baxter, B. W. ;

Abraham, M. G. ;

Cardona, P. ;

Veznedaroglu, E. ;

Hellinger, F. R. ;

Feng, L. ;

Kirmani, J. F. ;

Lopes, D. K. ;

Jankowitz, B. T. ;

Frankel, M. R. ;

Costalat, V. ;

Vora, N. A. ;

Yoo, A. J. ;

Malik, A. M. ;

Furlan, A. J. ;

Rubiera, M. ;

Aghaebrahim, A. ;

Olivot, J. -M. ;

Tekle, W. G. ;

Shields, R. ;

Graves, T. ;

Lewis, R. J. ;

Smith, W. S. ;

Liebeskind, D. S. ;

Saver, J. L. ;

Jovin, T. G. .

NEW ENGLAND JOURNAL OF MEDICINE, 2018, 378 (01) :11-21

[10] 2018 Guidelines for the Early Management of Patients With Acute Ischemic Stroke: A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association [J].

Powers, William J. ;

Rabinstein, Alejandro A. ;

Ackerson, Teri ;

Adeoye, Opeolu M. ;

Bambakidis, Nicholas C. ;

Becker, Kyra ;

Biller, Jose ;

Brown, Michael ;

Demaerschalk, Bart M. ;

Hoh, Brian ;

Jauch, Edward C. ;

Kidwell, Chelsea S. ;

Leslie-Mazwi, Thabele M. ;

Ovbiagele, Bruce ;

Scott, Phillip A. ;

Sheth, Kevin N. ;

Southerland, Andrew M. ;

Summers, Deborah V. ;

Tirschwell, David L. .

STROKE, 2018, 49 (03) :E46-E110

← 1 2 →