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

Abstract

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。 Abstract: 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.

Keywords

• 血管内治疗
• 脑梗死
• 大血管闭塞
• 多模式影像
• endovascular therapy
• ischemic stroke
• large vessel occlusion
• multimodal imaging