介入性机械血栓切除术的适应证和局限性

S. Fatehpur
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引用次数: 0

摘要

血管内血栓回收联合静脉注射重组组织纤溶酶原激活剂(rtPA)已被确定为治疗大血管闭塞的急性动脉缺血性卒中(AIS)的首选疗法。虽然这种治疗前基质区域缺血性损伤的结果明显是积极的,但对后循环机械血栓切除术的结果进行了有争议的讨论。此外,指示是通过时间窗口、缺血区域的大小和各种评分来确定的。这篇文章的目的是回顾关于血栓弹性成像在急性缺血性卒中患者中的应用的现有报告。
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Interventional Mechanical thrombectomy Indications and limitations A Mini-Review
The endovascular clot retrieval in combination with intravenous recombinant tissue plasminogen activator (rtPA) has been established as the 1st choice therapy for the treatment of acute arterial ischemic stroke (AIS) in case of large vessel occlusion. While the results of this therapy in ischemic insults in the anterior stromal region are clearly positive, the results for mechanical thrombectomy in posterior circulation are controversially discussed. In addition, the indication is made by the time window, sizing of the ischemic area, and various scores. The aim of the article is to review the available reports on the use of thromboelastography in acute ischemic stroke patients.
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