A Look Back on the History of Cerebral Revascularization for Acute Ischemic Stroke: A Neurosurgeon's Perspective.

IF 2.9 4区医学 Q2 CLINICAL NEUROLOGY

Canadian Journal of Neurological Sciences Pub Date : 2024-11-05 DOI:10.1017/cjn.2024.292

Jay Max Findlay

引用次数: 0

Abstract

This review looks back on our experience with acute middle cerebral artery embolectomies in the 1990s, frowned upon by stroke experts at the time, and no match for the newly introduced and proven treatment of acute ischemic stroke with intravenous recombinant tissue plasminogen activator (alteplase). The past several decades have seen dramatic developments in acute cerebral revascularization, the major paradigm shift being in the form of endovascular thrombectomy. Mechanical thrombectomy has moved from the operating room, where we performed it, to the interventional angiography suite armed with ever-improving clot aspiration and retrieval technologies.

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回顾急性缺血性脑卒中脑血管再通术的历史：神经外科医生的视角。

这篇回顾性文章回顾了我们在 20 世纪 90 年代进行急性大脑中动脉栓塞切除术的经验，当时的卒中专家们对这种治疗方法不屑一顾，认为它比不上新引进并经过验证的静脉注射重组组织纤溶酶原激活剂（阿替普酶）治疗急性缺血性卒中的方法。在过去的几十年里，急性脑血管再通术取得了巨大的发展，其中最主要的范式转变是血管内血栓切除术。机械性血栓切除术已从手术室转移到介入血管造影室，并配备了不断改进的血栓抽吸和回收技术。

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

Canadian Journal of Neurological Sciences 医学-临床神经学

CiteScore

4.30

自引率

3.30%

发文量

330

审稿时长

4-8 weeks

期刊介绍： Canadian Neurological Sciences Federation The Canadian Journal of Neurological Sciences is the official publication of the four member societies of the Canadian Neurological Sciences Federation -- Canadian Neurological Society (CNS), Canadian Association of Child Neurology (CACN), Canadian Neurosurgical Society (CNSS), Canadian Society of Clinical Neurophysiologists (CSCN). The Journal is a widely circulated internationally recognized medical journal that publishes peer-reviewed articles. The Journal is published in January, March, May, July, September, and November in an online only format. The first Canadian Journal of Neurological Sciences (the Journal) was published in 1974 in Winnipeg. In 1981, the Journal became the official publication of the member societies of the CNSF.