伴心房颤动的急性缺血性卒中的治疗

心房颤动是缺血性卒中的一种重要病因.研究表明,与无心房颤动者相比,伴有心房颤动的卒中患者会出现更严重的神经功能缺损和更高的病死率.此外,心房颤动还是静脉溶栓后血管未能再通的独立危险因素,与转归不良相关.机械取栓治疗为伴有心房颤动的急性缺血性卒中患者提供了新的治疗方案.文章就合并心房颤动的急性缺血性卒中患者的静脉溶栓和机械取栓治疗进行了综述.

Treatment of acute ischemic stroke with atrial fibrillation

Atrial fibrillation is an important cause of ischemic stroke.Studies have shown that the acute ischemic stroke patients with atrial fibrillation may have more severe neurological deficits and higher mortality compared with those without atrial fibrillation.In addition,atrial fibrillation is also an independent risk factor for the failure of recanalization after iotravenous thrombolysis,and it is associated with poor outcome.Mechanical thrombectomy treatment provides a new therapeutic regimen for acute ischemic stroke patients with atrial fibrillation.This article reviews the intravenous thrombolysis and mechanical thrombectomy for acute ischemic patients with atrial fibrillation.