脳卒中の患者における単一の血栓切除 vs. 静脈内アルテプラス+血栓切除:オープン・ブラインド・アウトカム・ランダム化非劣等性試験

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Updated: Sep 5, 2025

Prehospital Thrombolysis: A Manual from Berlin
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Prehospital Thrombolysis: A Manual from Berlin

Published on: November 26, 2013

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Urs Fischer1, Johannes Kaesmacher2, Daniel Strbian3

  • 1Department of Neurology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland; Department of Neurology, University Hospital Basel, University of Basel, Basel, Switzerland.

Lancet (London, England)
|July 10, 2022
PubMed
まとめ

トロンベクトミー単独では,急性不全性脳卒中において,静脈内アルテプラスとの併用ほど有効ではありません. 試験では,血栓切除だけで再注射率が低いことが判明し,アルテプラスが適格な患者に省略されるべきではないことを示唆しています.

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