大核心缺血性中风的内血管治疗:随机对照临床试验的元分析
Lina Palaiodimou1, Amrou Sarraj2, Apostolos Safouris1,3,4
1Second Department of Neurology, 'Attikon' University Hospital, National and Kapodistrian University of Athens, Athens, Greece.
内血管治疗 (EVT) 显著减少残疾,并改善大型核心急性缺血性中风 (AIS) 患者的功能结果. 虽然增加了出血风险,但EVT并没有增加死亡率,这表明其作为安全有效的治疗选择的潜力.
科学领域:
- 神经学 神经学
- 干预心脏病学 干预心脏病学
- 脑卒中医学 脑卒中医学
背景情况:
- 目前的指导方针建议对急性缺血性中风 (AIS) 进行内血管治疗 (EVT),其中包括大血管封闭和阿尔伯塔中风计划早期CT评分 (ASPECTS) ≥6.6.
- 最近的随机对照试验 (RCT) 为大型核心AIS提供了对EVT的高质量证据,需要更新的元分析来评估其有效性和安全性.
结论:
- 内血管治疗 (EVT) 证明了在改善大核心急性缺血性中风 (AIS) 患者的功能结果方面具有有效性.
- EVT与内出血风险增加有关,但不会提高死亡率.
- 通过ASPECT 2-5或体积方法定义的大核心AIS,EVT可以被认为是安全有效的治疗选择.
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