Endovascular Stroke Therapy in the Late Time Window
نویسندگان
چکیده
منابع مشابه
Endovascular therapy for stroke--it's about time.
Although many stroke centers worldwide have performed endovascular stroke therapy since the results of the Prolyse in Acute Cerebral Thromboembolism (PROACT) II trial were published in 1999,1 lingering uncertainties about efficacy and the selection of patients created an uneasy equipoise. Especially nettlesome was the uncertain benefit of endovascular therapy as compared with intravenous tissue...
متن کاملEndovascular Therapy for Ischemic Stroke
The utility of intravenous tissue plasminogen activator (IV t-PA) in improving the clinical outcomes after acute ischemic stroke has been well demonstrated in past clinical trials. Though multiple initial small series of endovascular stroke therapy had shown good outcomes as compared to IV t-PA, a similar beneficial effect had not been translated in multiple randomized clinical trials of endova...
متن کاملEndovascular recanalization therapy in acute ischemic stroke.
BACKGROUND AND PURPOSE To assess the outcome in acute ischemic stroke patients not eligible for systemic thrombolysis (outside the 3-hour time window, after surgery, or on anticoagulant) undergoing endovascular recanalization therapy (ERT) at the Columbia University Medical Center (CUMC) and to determine US nationwide usage and outcome of ERT in acute ischemic stroke. METHODS Patients treated...
متن کامل[Therapeutic time window in ischemic stroke].
近年,脳梗塞の治療では心筋梗塞の治療と同様に早 期診断・早期治療の重要性が叫ばれ,心筋梗塞が “Heart Attack”と呼ばれ可急的速やかに治療され一命 をとりとめるように,脳梗塞も“Brain Attack”と捉え 同様に速やかに治療を行い,後遺症を最小限にくいと めることの重要性が認識されつつある.脳虚血が発症 して脳血流が遮断されると脳組織は数時間で不可逆性 の変化をきたし壊死に陥って梗塞となる.ひとたび脳 梗塞に罹患すると片麻痺や言語障害などの神経症候, 記憶・記銘力の低下や情緒障害などの精神症状,さら にQOLの低下や痴呆症などの後遺症に苦しむことに なり社会的生命を失うことにもなる. 近年CT(computed tomography),MRI・A(magnetic resonance imaging・angiography),SPECT(single photon e...
متن کاملChallenges and Opportunities of Endovascular Stroke Therapy.
In light of the results of the recent trials comparing endovascular treatment for acute ischemic stroke compared to the previous standard of care, endovascular treatment is now the new standard for patients with acute ischemic stroke resulting from proximal vessel occlusion. This is probably the greatest advancement in stroke treatment in two decades. However, these results, in addition to crea...
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ژورنال
عنوان ژورنال: Stroke
سال: 2018
ISSN: 0039-2499,1524-4628
DOI: 10.1161/strokeaha.118.021003