远端中血管闭塞的血管内血栓切除术:文献综述。

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

摘要

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

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.

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来源期刊
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.
期刊最新文献
Corrigendum to "Spontaneous Neuronal Plasticity in the Contralateral Motor Cortex and Corticospinal Tract after Focal Cortical Infarction in Hypertensive Rats" [J Stroke Cerebrovasc Dis,2020 Dec;29(12):105235/Manuscript NO:JSCVD-D-20-00162]. CONTEXTUAL AND CLINICAL FACTORS AS EXPLAINERS OF STROKE SEVERITY, RESIDUAL MOTOR IMPAIRMENTS, AND FUNCTIONAL INDEPENDENCE DURING HOSPITALIZATION. CTP-Derived Venous Outflow Profiles Correlate With Tissue-Level Collaterals Regardless of Arterial Collateral Status. Relationship between hyoid-carotid distance, hyoid position and morphology and degree of stenosis and associated stroke. Stroke education: Engaging learners and the community to advance care for cerebrovascular disease.
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