Mechanical thrombectomy in acute ischemic stroke

被引：89

作者：

Derex, L. ^{[1
]}

Cho, T. -H. ^{[1
]}

机构：

[1] Hop Neurol Lyon, Unite Neurovasc, Serv Neurol, 59 Blvd Pinel, F-69677 Bron, France

来源：

REVUE NEUROLOGIQUE | 2017年 / 173卷 / 03期

关键词：

Stroke; Mechanical thrombectomy; Thrombolysis; COMPUTED-TOMOGRAPHY SCORE; IMAGING-ALBERTA STROKE; INTRAVENOUS T-PA; ENDOVASCULAR TREATMENT; LESION VOLUME; INTERVENTIONAL MANAGEMENT; THERAPY; REPERFUSION; ALTEPLASE; TRIAL;

D O I：

10.1016/j.neurol.2016.06.008

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Recent randomized trials have demonstrated the efficacy of stent retriever thrombectomy, in association with intravenous thrombolysis, in acute ischemic stroke related to the occlusion of the distal internal carotid artery or the proximal middle cerebral artery within six hours of symptom onset. Mechanical thrombectomy should be performed as soon as possible after symptom onset. High age alone should not be considered as a contraindication for mechanical thrombectomy. Mechanical thrombectomy is recommended in acute ischemic stroke patients with large vessel occlusions and salvageable brain tissue if intravenous thrombolysis is contraindicated. Re-organization of stroke care systems is needed to provide rapid access to endovascular therapy equitably to all eligible patients. (C) 2017 Elsevier Masson SAS. All rights reserved.

引用

页码：106 / 113

页数：8

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