对于患有大心脏病区域的急性缺血性中风的内血管血栓切除术:随机对照试验的更新系统审查和元分析
Shivani Ravipati1, Ayesha Amjad2, Komal Zulfiqar3
1Department of Medicine, Dr.Pinnamaneni Siddhartha Institute of Medical Sciences & Research Foundation, India.
概括
血管内血栓切除术 (EVT) 改善了急性缺血性中风患者的大型心脏病发作的功能和神经结果. 虽然EVT增加了出血风险,但与单独的医疗保健相比,它显著提高了恢复.
科学领域:
- 神经学 神经学
- 干预心脏病学 干预心脏病学
- 公共卫生 公共卫生
背景情况:
- 对于急性缺血性中风 (AIS) 与大型心脏病发作的内血管血栓切除术 (EVT) 的有效性仍在争论中.
- 这项研究将EVT的功能和神经结果与AIS患者的单独医疗保健进行比较.
结论:
- 在选择的AIS患者中,EVT显著改善了神经和功能结果 (方面3-5),在6小时内出现.
- 在功能独立和神经恢复方面,EVT的好处很明显.
- EVT与症状性内出血的风险增加有关.
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