急性缺血性脑卒中患者机械取栓前静脉溶栓的益处不大  

Intravenous Thrombolysis before Thrombectomy in Patients with AIS Does Not Appear to Provide A Clinical Benefit

作　　者：代成波[1] 杨哲贤[1] DAI Cheng⁃bo;YANG Zhe⁃xian(Department of Neurology,Guangdong Provincial People's Hospital,Guangdong Academy of Medical Sciences,Guangzhou 510080,China)

机构地区：[1]广东省人民医院神经科、广东省医学科学院

出　　处：《循证医学》2019年第6期329-331,共3页The Journal of Evidence-Based Medicine

摘　　要：1文献来源Coutinho JM,Liebeskind DS,Slater LA,et al.Combined intravenous thrombolysis and thrombectomy vs thrombectomy alone for acute ischemic stroke:A pooled analysis of the SWIFT and STAR studies[J].JAMA Neurol,2017,74(3):268-274.2证据水平2b。3背景机械取栓(mechanical thrombectomy,MT)可以改善大血管闭塞所致急性缺血性卒中的临床结局。MT患者静脉溶栓(intravenous thrombolysis,IVT)是否具有附加的获益尚不清楚。

关 键 词：脑卒中 血栓清除术 静脉溶栓 

分 类 号：R743.3[医药卫生—神经病学与精神病学]