A review of endovascular treatment for medium vessel occlusion stroke

被引：114

作者：

Ospel, Johanna Maria ^{[1
,2
]}

Goyal, Mayank ^{[2
,3
]}

机构：

[1] Univ Spital Basel, Radiol, Basel, Switzerland

[2] Univ Calgary, Clin Neurosci, Calgary, AB, Canada

[3] Univ Calgary, Diagnost Imaging, Calgary, AB T2N 1N4, Canada

来源：

JOURNAL OF NEUROINTERVENTIONAL SURGERY | 2021年 / 13卷 / 07期

关键词：

stroke; thrombectomy; thrombolysis; ACUTE ISCHEMIC-STROKE; MIDDLE CEREBRAL-ARTERY; MULTIPHASE CT ANGIOGRAPHY; STENT-RETRIEVER THROMBECTOMY; M2 SEGMENT OCCLUSION; MECHANICAL THROMBECTOMY; METAANALYSIS; ASPIRATION; EXPERIENCE; THERAPY;

D O I：

10.1136/neurintsurg-2021-017321

中图分类号：

R445 [影像诊断学];

学科分类号：

100207 ;

摘要：

Medium-vessel occlusions (MeVOs), that is, occlusions of the M2/3 middle cerebral artery, A2/3 anterior cerebral artery, and P2/3 posterior cerebral artery segments, account for 25%-40% of all acute ischemic stroke cases. Clinical outcomes of MeVO stroke with intravenous thrombolysis, which is the current standard of care, are moderate at best. With improving imaging technologies and a growing literature, MeVOs are increasingly recognized as a target for endovascular treatment (EVT). For the time being, there is limited but promising evidence for the safety and efficacy of MeVO EVT, and many neurointerventionists are already routinely offering EVT for MeVO stroke, despite the lack of clear guideline recommendations. In this article, we review the evidence on endovascular treatment for MeVO stroke and summarize the available literature on current imaging strategies, commonly used EVT selection criteria, EVT techniques, and outcome assessment for MeVO stroke.

引用

页码：623 / +

页数：9

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