Endovascular thrombectomy for distal medium vessel occlusions: A literature review.

IF 2 4区医学 Q3 NEUROSCIENCES

Journal of Stroke & Cerebrovascular Diseases Pub Date : 2024-11-12 DOI:10.1016/j.jstrokecerebrovasdis.2024.108134

Batool Aldaher, Anit Behera, Rami Z Morsi, Saryia Adra, Harsh Desai, Sachin A Kothari, Sonam Thind, Ahmad Chahine, Julián Carrión-Penagos, Archit Baskaran, Rohini Rana, Eric S Armbrecht, James E Siegler, Elisheva R Coleman, James R Brorson, Scott J Mendelson, Ali Mansour, Shyam Prabhakaran, Tareq Kass-Hout

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引用次数: 0

Abstract

Background: There is a lack of substantial evidence supporting the safety and effectiveness of endovascular thrombectomy in treating distal medium vessel occlusions (DMVOs).

Objective: To summarize the current evidence regarding endovascular thrombectomy for DMVOs.

Methods: We conducted a narrative review of key articles related to the diagnosis and management of DMVOs. We manually searched PubMed and Google Scholar from January 2010 to July 2023, and only included articles published in the English language.

Results: While diagnosing and treating DMVOs is tricky due to access limitations and potential limited benefit from mechanical clot removal, recent improvements in catheter and retrieval technology suggest that endovascular thrombectomy might be a potential treatment option. However, more high-quality research is needed to confirm its effectiveness for DMVOs.

Conclusion: Experts disagree on how to classify DMVOs and what the best mode of endovascular treatment is.

查看原文本刊更多论文

远端中血管闭塞的血管内血栓切除术：文献综述。

背景：血管内血栓切除术治疗远端中血管闭塞症（DMVOs）的安全性和有效性缺乏证据支持：目前缺乏大量证据支持血管内血栓切除术治疗远端中血管闭塞（DMVO）的安全性和有效性：总结目前有关血管内血栓切除术治疗 DMVOs 的证据：我们对与 DMVOs 诊断和治疗相关的主要文章进行了叙述性综述。我们人工检索了 2010 年 1 月至 2023 年 7 月期间的 PubMed 和 Google Scholar，仅纳入了以英语发表的文章：虽然诊断和治疗 DMVOs 非常棘手，因为存在入路限制，而且机械性血栓清除可能带来的益处有限，但最近导管和取栓技术的改进表明，血管内血栓切除术可能是一种潜在的治疗选择。然而，还需要更多高质量的研究来证实其对DMVOs的有效性：结论：专家们对如何对 DMVO 进行分类以及血管内治疗的最佳模式存在分歧。

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 Stroke & Cerebrovascular Diseases Medicine-Surgery

CiteScore

5.00

自引率

4.00%

发文量

583

审稿时长

62 days

期刊介绍： The Journal of Stroke & Cerebrovascular Diseases publishes original papers on basic and clinical science related to the fields of stroke and cerebrovascular diseases. The Journal also features review articles, controversies, methods and technical notes, selected case reports and other original articles of special nature. Its editorial mission is to focus on prevention and repair of cerebrovascular disease. Clinical papers emphasize medical and surgical aspects of stroke, clinical trials and design, epidemiology, stroke care delivery systems and outcomes, imaging sciences and rehabilitation of stroke. The Journal will be of special interest to specialists involved in caring for patients with cerebrovascular disease, including neurologists, neurosurgeons and cardiologists.