Mechanical Thrombectomy-A Brief Review of a Revolutionary new Treatment for Thromboembolic Stroke

被引：38

作者：

Bhogal, Pervinder ^{[1
,2
]}

Andersson, Tommy ^{[3
,4
,5
,6
]}

Maus, Volker ^{[7
]}

Mpotsaris, Anastasios ^{[8
]}

Yeo, Leonard ^{[3
,4
,5
,9
,10
]}

机构：

[1] St Bartholomews, Whitechapel Rd, London E1 1BB, England

[2] Royal London Hosp, Whitechapel Rd, London E1 1BB, England

[3] Karolinska Univ, Dept Neuroradiol, Stockholm, Sweden

[4] Karolinska Univ, Dept Clin Neurosci, Stockholm, Sweden

[5] Karolinska Inst, Stockholm, Sweden

[6] AZ Groeninge, Dept Med Imaging, B-8500 Kortrijk, Belgium

[7] Univ Hosp Gottingen, Dept Neuroradiol, Robert Koch Str 40, D-37075 Gottingen, Germany

[8] Univ Hosp Aachen, Dept Neuroradiol, Aachen, Germany

[9] Natl Univ Hlth Syst, Dept Med Neurol, Singapore, Singapore

[10] Natl Univ Singapore, Yong Loo Lin Sch Med, Singapore, Singapore

来源：

CLINICAL NEURORADIOLOGY | 2018年 / 28卷 / 03期

基金：

英国医学研究理事会;

关键词：

Ischemic stroke; Mechanical thrombectomy; Acute; Stent retriever; Device; ACUTE ISCHEMIC-STROKE; MIDDLE CEREBRAL-ARTERY; LARGE VESSEL OCCLUSION; INDIVIDUAL PATIENT DATA; TISSUE-PLASMINOGEN-ACTIVATOR; RANDOMIZED CLINICAL-TRIAL; IMAGING-ALBERTA STROKE; 1ST PASS TECHNIQUE; INTRAVENOUS T-PA; ENDOVASCULAR TREATMENT;

D O I：

10.1007/s00062-018-0692-2

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

The recent success of endovascular stroke treatment has heralded a new era in the management of acute ischemic stroke (AIS) with significantly improved outcome for patients. A large number of patients may be amenable to this new treatment and as the evidence expands the number of patients eligible for mechanical thrombectomy continues to increase. Recent evidence suggests that the time window for treatment can be extended up to 24 h after symptom onset for patients with anterior circulation strokes; however, many clinicians and medical professionals may not be aware of these recent changes and it is important that they are kept up-to-date with this rapidly evolving treatment. This review provides an overview of the recent successful trials and highlights important steps that should be instituted in order to achieve rapid reperfusion and optimize the outcome for ischemic stroke patients. It also looks at the remaining controversies facing the field of thrombectomy. A short summary of each of these contentious areas is provided and the current state of the art.

引用

页码：313 / 326

页数：14

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