Direct angiographic intervention for acute ischemic stroke with large vessel occlusion

被引:5
作者
Li, Weizhe [1 ]
Burgin, W. Scott [1 ]
Abadal, Kanita Beba [1 ]
Mokin, Maxim [2 ]
Ren, Zeguang [2 ]
机构
[1] Univ S Florida, Dept Neurol, Tampa, FL 33620 USA
[2] Univ S Florida, Dept Neurosurg, Tampa, FL 33620 USA
关键词
Acute ischemic stroke; large vessel occlusion; direct transfer; angiosuite; multimodal imaging; GUIDED PATIENT SELECTION; ENDOVASCULAR TREATMENT; EARLY MANAGEMENT; 2018; GUIDELINES; THROMBECTOMY; EFFICACY; SAFETY; SCORE;
D O I
10.1080/01616412.2021.1939485
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Background:Rapid and effective revascularization is the cornerstone of acute ischemic stroke treatment. Endovascular thrombectomy reperfusion has dramatically changed patients' outcomes with large vessel occlusions. Results of randomized controlled trials have shown that the benefit of this treatment is highly time-sensitive. The purpose of this review is to introduce a new approach to acute stroke treatment - direct angiographic intervention for selected patients. Methods & Results:We examined the issues related to the current guideline-based practice, emphasizing whether the benefit of using advanced multimodal imaging is worth the potential resultant disability generated by delayed reperfusion times. The published evidence supporting this novel concept was reviewed, its safety and feasibility discussed, and appropriate predictive tools for patient selection explored.Conclusion:This new approach may provide benefits for appropriately selected patients. Further prospective trials are needed to clarify the risk-versus-benefit of this approach.
引用
收藏
页码:926 / 931
页数:6
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