急性缺血性卒中血管内治疗:时间就是大脑  

Endovascular Therapy in Acute Ischemic Stroke: Time is Brain

作　　者：王安荔[1] 陈智才[2] 史飞娜 楼敏[2] WANG An-Li1, CHEN Zhi-Cai2, SHI Fei-Na2, LOU Min2.(1.Department of Neurology, Pujiang County People Hospital, Jinhua 322200, China; 2.Department of Neurology, the Second Affiliated Hospital of Zhejiang University, School of Medicine, Hangzhou 310009, Chin)

机构地区：[1]浙江省浦江县人民医院神经内科,金华322200 [2]浙江大学医学院附属第二医院神经内科

出　　处：《中国卒中杂志》2018年第2期159-166,共8页Chinese Journal of Stroke

基　　金：国家自然科学基金(81622017);浙江省重大科技专项(2017C04G1360592);金华市科技局公益类项目(2016A453567)

摘　　要：血管内治疗技术使急性大血管闭塞的治疗取得了突破性进展。近年研究结果表明,就临床结局而言,血管内治疗比静脉溶栓更具时间依赖性。因此如何减少血管内治疗时间的延误,是未来急性缺血性卒中血管内治疗快速发展亟待解决的问题。优化急救流程、使用快速有效的影像评估体系以及发展快速再通的取栓技术将有助于急性缺血性卒中血管内治疗在临床的推广和应用。Endovascular therapy brings a breakthrough progress in treatment of ischemic patients with acute large artery occlusion. Recent years studies have shown that endovascular therapy is more highly time-dependent than intravenous thrombolysis in terms of clinical outcome. To reduce reperfusion time delay is important for the management and development of endovascular therapy. Optimization of emergency rescue work flow, utilization of rapid and effective imaging evaluation system and development of fast recanalization method of thrombectomy will be helpful in clinical promotion and application of endovascular therapy in treatment of acute ischemic stroke.

关 键 词：血管内治疗 脑梗死 大血管闭塞 多模式影像 

分 类 号：R743.3[医药卫生—神经病学与精神病学]