急性缺血性卒中动脉溶栓和取栓治疗的研究进展

发病时间窗内采用静脉溶栓是治疗急性缺血性卒中的首选方法。然而对于大血管闭塞性脑梗死,静脉溶栓血管再通率偏低,血管内治疗可提高血管再通率。本文主要对动脉溶栓及机械取栓的研究进展进行综述,旨在指导未来的临床工作。

Study Progress of Intra-arterial Thrombolysis and Mechanical Thrombectomy on Acute Ischemic Stroke

Intravenous thrombolysis remains to be the first choice for patients with acute ischemic stroke presenting within the appropriate time window, but one potential limitation is the low rate of recanalization in patients with cerebral infarctions because of large artery occlusions. Endovascular therapy is more effective for emergency revascularization of large arterial occlusions. This article reviews the advance in intra-arterial thrombolysis and mechanical thrombectomy in order to guide future clinical work.