急性缺血性脑卒中血管内治疗中国专家共识

被引:156
作者
高峰
机构
[1] 中华预防医学会卒中预防与控制专业委员会介入学组
[2] 急性缺血性脑卒中血管内治疗中国专家共识组
[3] 首都医科大学附属北京天坛医院
关键词
脑缺血; 脑梗死; 血管内治疗; 专家共识;
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
1002 ;
摘要
<正>脑卒中是导致人类残疾和死亡的主要病因之一,急性缺血性卒中(acute ischemic stroke,AIS)约占全部脑卒中的80%。AIS治疗的关键在于尽早开通闭塞血管、恢复血流以挽救缺血半暗带组织。目前AIS早期血管开通治疗方法主要是药物治疗(静脉溶栓),但由于严格的时间窗限制(3~4.5 h)[1-2],且合并大动脉闭塞再通率低(13%18%),能够从此项治疗中获益的患者不足3%,90 d死亡和残疾率高达21%和68%[3],治疗效果并不令人满意。近年来一些新的血管内治疗器械(支架取栓装置及血栓抽吸装置等)相继应用于临床,显著提高了闭塞血管的开通率,血管内治疗(动脉
引用
收藏
页码:556 / 560
页数:5
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