摘要
急性重型缺血性脑卒中保守治疗预后极差,血管内治疗可及时开通颅内急性闭塞的大血管而改善预后。近年来,以SolitaireAB/FR为代表的支架型复流取栓装置克服了药物溶栓和MERCI、Penumbra等早期机械开通装置的不足,实现了即刻复流和安全取栓的结合,延长了脑卒中开通时间窗,提高了闭塞血管开通率并改善了预后。本文对此类装置机械开通急性重型缺血性脑卒中颅内闭塞血管的研究进展进行了综述。
The prognosis of acute severe ischemic stroke treated by conservative therapy is very poor. Endovascular treatment can promptly recanafize acutely- obstructed large intracranial vessel and thus effectively improve stroke outcomes. For recent years, stent retrievers, represented by SolitaireAB/FR stent, have overcome the shortages of thrombolytic therapy as well as the mechanical insufficiency of some initially- developed thrombectomy devices such as MERCI retriever, Penumbra system, etc. and these stent retrievers have brought about the combination of instant flow-restoration and reliable thrombectomy, benefited by which the therapeutic window for ischemic stroke is greatly prolonged, and the recanalization rate is markedly increased, which enables the patient to obtain a favorable outcome. This paper is intended to make a comprehensive review about recent progress in stent retrievers used for acute severe ischemic stroke. （J Intervent Radiol, 2013, 22： 786-790）
出处
《介入放射学杂志》
CSCD
北大核心
2013年第9期786-790,共5页
Journal of Interventional Radiology
