[1]蒋文贤,王树青,唐文成,等.大核心缺血性脑卒中机械取栓现状及相关研究进展[J].介入放射学杂志,2023,32(12):1256-1262.
 JIANG Wenxian,WANG Shuqing,TANG Wenchen,et al.Current status and related research progress of mechanical thrombectomy in large core ischemic stroke of anterior circulation[J].journal interventional radiology,2023,32(12):1256-1262.
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大核心缺血性脑卒中机械取栓现状及相关研究进展()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
32
期数:
2023年12
页码:
1256-1262
栏目:
综述
出版日期:
2024-01-02

文章信息/Info

Title:
Current status and related research progress of mechanical thrombectomy in large core ischemic stroke of anterior circulation
作者:
蒋文贤 王树青 唐文成 胡启洋 肖 榕 康玉卓 周义杰
Author(s):
JIANG Wenxian WANG Shuqing TANG Wenchen HU Qiyang XIAO Rong KANG Yuzhuo ZHOU Yijie.
Guilin Municipal Hospital of Traditional Chinese Medicine, Guilin, Guangxi Zhuang Autonomous Region 541002, China
关键词:
【关键词】 大核心脑梗死 小核心脑梗死 机械取栓
文献标志码:
A
摘要:
【摘要】 机械取栓是近年来急性脑梗死治疗的最重要研究进展,特别是在2015年五大血管内治疗研究的阳性结果改写了临床指南,但是其研究的重点主要针对小核心脑梗死患者(small vessel infarction,SVI),其入选标准:ASPECTS≥6分,Alberta卒中项目早期CT评分(Alberta Stroke Program Early CT Score)卒中发作6 h内;卒中发作6~24 h内,梗死体积小于70 mL,且存在影像错配或存在临床与灌注影像不匹配。上述研究均排除了大核心脑梗死(large core infarction,LCI)ASPECTS<6分或梗死体积≥70 mL的患者,而随着急性缺血性脑卒中(acute ischemic stroke,AIS)血管内治疗研究的不断进展,机械取栓从“时间窗”跨向“组织窗”,同时也从小核心脑梗死跨向了最近非常热门的大核心梗死时代。对于大核心梗死患者血管内治疗是否有益,目前仍不确定。本文主要针对前循环大核心缺血性脑卒中血管内治疗的相关研究进展进行综述,比如大核心脑梗死影像判定及研究入选标准、术后血压管理、无效再通及预后影响因素等。

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备注/Memo

备注/Memo:
(收稿日期:2023- 01- 04)
(本文编辑:茹 实)
更新日期/Last Update: 2024-01-02