Endovascular Thrombectomy for Acute Ischemic Stroke : Current Concept in Management.

IF 1.4 4区医学 Q4 CLINICAL NEUROLOGY

Journal of Korean Neurosurgical Society Pub Date : 2024-07-01 Epub Date: 2024-03-29 DOI:10.3340/jkns.2023.0181

Jin Woo Bae, Dong Keun Hyun

引用次数: 0

Abstract

Endovascular thrombectomy (EVT) has been established as the standard of care in the treatment of acute ischemic stroke (AIS) based on landmark randomized controlled trials. Nevertheless, while the strict eligibility of EVT for AIS patients restrict the wide application of EVT, a considerable population still undergoes off-label EVT. Besides, it is important to acknowledge that recanalization is not achieved in approximately 20% of procedures, and more than 50% of patients who undergo EVT still do not experience a favorable outcome. This article reviews the brief history of EVT trials and recent progressions in the treatment of AIS, with focusing on the expanding eligibility criteria, new target for EVT, and the evolution of EVT techniques.

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急性缺血性脑卒中的血管内血栓切除术：目前的管理理念。

根据具有里程碑意义的随机对照试验，血管内血栓切除术（EVT）已被确立为治疗急性缺血性卒中（AIS）的标准疗法。尽管如此，AIS 患者接受 EVT 的严格资格限制了 EVT 的广泛应用，仍有相当一部分患者接受了标签外 EVT。此外，必须承认的是，约有 20% 的手术无法实现再通畅，50% 以上接受 EVT 的患者仍无法获得良好的治疗效果。本文回顾了EVT试验的简史和治疗AIS的最新进展，重点关注资格标准的扩大、EVT的新靶点和EVT技术的发展。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Korean Neurosurgical Society 医学-临床神经学

CiteScore

2.90

自引率

6.20%

发文量

109

审稿时长

3-8 weeks

期刊介绍： The Journal of Korean Neurosurgical Society (J Korean Neurosurg Soc) is the official journal of the Korean Neurosurgical Society, and published bimonthly (1st day of January, March, May, July, September, and November). It launched in October 31, 1972 with Volume 1 and Number 1. J Korean Neurosurg Soc aims to allow neurosurgeons from around the world to enrich their knowledge of patient management, education, and clinical or experimental research, and hence their professionalism. This journal publishes Laboratory Investigations, Clinical Articles, Review Articles, Case Reports, Technical Notes, and Letters to the Editor. Our field of interest involves clinical neurosurgery (cerebrovascular disease, neuro-oncology, skull base neurosurgery, spine, pediatric neurosurgery, functional neurosurgery, epilepsy, neuro-trauma, and peripheral nerve disease) and laboratory work in neuroscience.