急性缺血性脑卒中血管再通治疗策略与展望

被引:25
作者
季一飞
陈历
机构
[1] 川北医学院第二临床医学院·南充市中心医院神经内科
关键词
急性缺血性脑卒中; 溶栓治疗; 血管内治疗; 机械取栓;
D O I
暂无
中图分类号
R743.3 [急性脑血管疾病(中风)];
学科分类号
100204 [神经病学];
摘要
急性缺血性脑卒中(Acute Ischemic Stroke,AIS)是指由于脑的供血动脉(颈动脉或椎动脉系统)狭窄或闭塞、脑供血不足导致的脑组织坏死的总称。AIS的治疗方法很多,有卒中单元、溶栓治疗、抗血小板治疗、抗凝治疗等。但是尽快再通闭塞血管、恢复脑组织供血仍是最直接、最有效的方法。本文就AIS血管再通治疗策略(静脉溶栓、动脉溶栓、血管内机械取栓治疗)与展望做一述评。
引用
收藏
页码:745 / 749
页数:5
相关论文
共 9 条
[1]
中国脑血管病防治指南.[M].饶明俐主编.人民卫生出版社.2007,
[2]
Endovascular revascularization results in IMS III: intracranial ICA and M1 occlusions [J].
Tomsick, Thomas A. ;
Yeatts, Sharon D. ;
Liebeskind, David S. ;
Carrozzella, Janice ;
Foster, Lydia ;
Goyal, Mayank ;
von Kummer, Ruediger ;
Hill, Michael D. ;
Demchuk, Andrew M. ;
Jovin, Tudor ;
Yan, Bernard ;
Zaidat, Osama O. ;
Schonewille, Wouter ;
Engelter, Stefan ;
Martin, Renee ;
Khatri, Pooja ;
Spilker, Judith ;
Palesch, Yuko Y. ;
Broderick, Joseph P. .
JOURNAL OF NEUROINTERVENTIONAL SURGERY, 2015, 7 (11) :795-802
[3]
Developments on the horizon in the treatment of neurovascular problems.[J].Andrew Ferrell;Gavin Britz.Surgical Neurology International.2013, 2
[4]
Stroke [J].
Donnan, Geoffrey A. ;
Fisher, Marc ;
Macleod, Malcolm ;
Davis, Stephen M. .
LANCET, 2008, 371 (9624) :1612-1623
[5]
Randomized trial of intraarterial infusion of urokinase within 6 hours of middle cerebral artery stroke - The Middle Cerebral Artery Embolism Local Fibrinolytic Intervention Trial (MELT) Japan [J].
Ogawa, Akira ;
Mori, Etsuro ;
Minematsu, Kazuo ;
Taki, Waro ;
Takahashi, Akira ;
Nemoto, Shigeru ;
Miyamoto, Susumu ;
Sasaki, Makoto ;
Inoue, Takashi .
STROKE, 2007, 38 (10) :2633-2639
[6]
Stroke in China: epidemiology, prevention, and management strategies [J].
Liu, Ming ;
Wu, Bo ;
Wang, Wen-Zhi ;
Lee, Li-Ming ;
Zhang, Shi-Hong ;
Kong, Ling-Zhi .
LANCET NEUROLOGY, 2007, 6 (05) :456-464
[7]
Clinical deterioration following improvement in the NINDS rt-PA Stroke Trial [J].
Grotta, JC ;
Welch, KMA ;
Fagan, SC ;
Lu, M ;
Frankel, MR ;
Brott, T ;
Levine, SR ;
Lyden, PD .
STROKE, 2001, 32 (03) :661-668
[8]
Randomised double-blind placebo-controlled trial of thrombolytic therapy with intravenous alteplase in acute ischaemic stroke (ECASS II) [J].
Hacke, W ;
Kaste, M ;
Fieschi, C ;
von Kummer, R ;
Davalos, A ;
Meier, D ;
Larrue, V ;
Bluhmki, E ;
Davis, S ;
Donnan, G ;
Schneider, D ;
Diez-Tejedor, E ;
Trouillas, P .
LANCET, 1998, 352 (9136) :1245-1251
[9]
PROACT: A phase II randomized trial of recombinant pro-urokinase by direct arterial delivery in acute middle cerebral artery stroke [J].
del Zoppo, GJ ;
Higashida, RT ;
Furlan, AJ ;
Pessin, MS ;
Rowley, HA ;
Gent, M .
STROKE, 1998, 29 (01) :4-11