患有非常低ASPECTS分数的患者的内血管血栓切除术:系统性审查和元分析
Aristeidis H Katsanos1, Luciana Catanese2, Ashkan Shoamanesh2
1From the Department of Medicine (Neurology), McMaster University, Hamilton, Ontario, Canada. ar.katsanos@gmail.com.
Neurology
|September 29, 2023
概括
内血管血栓切除术 (EVT) 对患有非常大的心脏病核心 (ASPECT 0-2) 的患者有好处. 这一元分析显示,与该小组的医疗管理相比,EVT的功能结果得到了改善.
科学领域:
- 神经学 神经学
- 干预性放射学 干预性放射学
- 脑卒中医学 脑卒中医学
背景情况:
- 随机对照试验 (RCT) 证明了内血管血栓切除术 (EVT) 在大心脏梗塞核心中风中的有效性.
- 在患有非常大的心脏病核心的患者中,EVT的实用性 (阿尔伯塔中风计划早期CT得分[方面]<3) 仍然不太明确.
结论:
- 这些发现挑战了在ASPECTS分数<3的患者中对EVT的排除标准.
- 支持考虑对具有非常大的心脏病核心的合格患者进行EVT.
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