Management of patients with acute ischemic stroke regarding endovascular treatment

被引:2
作者
Boustia, Fakhreddine [1 ]
Crespy, Alexandre [1 ]
Janot, Kevin [1 ]
Herbreteau, Denis [1 ]
机构
[1] CHRU Tours, Serv Neuroradiol Intervent, 2 Blvd Tonnelle, F-37000 Tours, France
来源
PRESSE MEDICALE | 2019年 / 48卷 / 06期
关键词
TISSUE-PLASMINOGEN-ACTIVATOR; THROMBECTOMY; SELECTION; TRIAL; BRAIN; SCORE;
D O I
10.1016/j.lpm.2019.05.005
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Ischemic strokes are a frequent and serious disease for which early diagnosis and quick medical care allows for on efficient treatment. It's on emergency among emergencies as every minute of wait decreases the probability of survival and recovery Recognition of the pathology by the general population and primary care professionals is mandatory and a national health policies preoccupation. Diagnosis is mode in hospitals in concertation between the neurologist specialised in strokes, the diagnosis neuroradiologist and the interventional neuroradiologist. Imaging (CT or MRI) is essential for the positive diagnosis of strokes, allowing the decision and modality of treatment to be adapted for every patient. Mechanical thrombectomy associated with intravenous thrombolysis is the optimum treatment for ischernic strokes in 2019.
引用
收藏
页码:664 / 671
页数:8
相关论文
共 26 条
[21]   Field Assessment Stroke Triage for Emergency Destination A Simple and Accurate Prehospital Scale to Detect Large Vessel Occlusion Strokes [J].
Lima, Fabricio O. ;
Silva, Gisele S. ;
Furie, Karen L. ;
Frankel, Michael R. ;
Lev, Michael H. ;
Camargo, Erica C. S. ;
Haussen, Diogo C. ;
Singhal, Aneesh B. ;
Koroshetz, Walter J. ;
Smith, Wade S. ;
Nogueira, Raul G. .
STROKE, 2016, 47 (08) :1997-2002
[22]   TISSUE-PLASMINOGEN ACTIVATOR FOR ACUTE ISCHEMIC STROKE [J].
MARLER, JR ;
BROTT, T ;
BRODERICK, J ;
KOTHARI, R ;
ODONOGHUE, M ;
BARSAN, W ;
TOMSICK, T ;
SPILKER, J ;
MILLER, R ;
SAUERBECK, L ;
JARRELL, J ;
KELLY, J ;
PERKINS, T ;
MCDONALD, T ;
RORICK, M ;
HICKEY, C ;
ARMITAGE, J ;
PERRY, C ;
THALINGER, K ;
RHUDE, R ;
SCHILL, J ;
BECKER, PS ;
HEATH, RS ;
ADAMS, D ;
REED, R ;
KLEI, M ;
HUGHES, S ;
ANTHONY, J ;
BAUDENDISTEL, D ;
ZADICOFF, C ;
RYMER, M ;
BETTINGER, I ;
LAUBINGER, P ;
SCHMERLER, M ;
MEIROSE, G ;
LYDEN, P ;
RAPP, K ;
BABCOCK, T ;
DAUM, P ;
PERSONA, D ;
BRODY, M ;
JACKSON, C ;
LEWIS, S ;
LISS, J ;
MAHDAVI, Z ;
ROTHROCK, J ;
TOM, T ;
ZWEIFLER, R ;
DUNFORD, J ;
ZIVIN, J .
NEW ENGLAND JOURNAL OF MEDICINE, 1995, 333 (24) :1581-1587
[23]   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
[24]   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
[25]   Hyperacute ischemic stroke:: Middle cerebral artery susceptibility sign at echo-planar gradient-echo MR imaging [J].
Rovira, A ;
Orellana, P ;
Alvarez-Sabín, J ;
Arenillas, JF ;
Aymerich, X ;
Grivé, E ;
Molina, C ;
Rovira-Gols, A .
RADIOLOGY, 2004, 232 (02) :466-473
[26]   Time is brain - Quantified [J].
Saver, JL .
STROKE, 2006, 37 (01) :263-266