RT期刊文章SR电子T1生物标记技术成功的栓子切除术后急性中风摩根富林明神经病学神经学乔FD Lippincott Williams &威尔金斯SP S91 OP S104 10.1212 / WNL。首页0000000000012800签证官97年20补充2 A1诺曼的例子A1阿尔伯特·j·Yoo年2021 UL //www.ez-admanager.com/content/97/20_Supp首页lement_2/S91.abstract AB的目的审查支架猎犬和导管翻了一番大把大愿望再灌注率相对于第一代设备。这是伴随着血管再生程序减少三倍时间。衡量未来血栓切除术的改进,新技术有效性的标准是必要的。本综述总结了近年文献关于程序成功的生物标志物和伤害,突出了未来的发展方向。最近发现扩大治疗脑缺血(eTICI),为更高层次的再灌注了成绩,改善结果的预测。核心laboratory-adjudicated研究表明,结果以下eTICI 2 c(再灌注90% -99%)优于eTICI 2 b50,几乎相当于eTICI 3。此外,eTICI 2 c规模提高了可靠性。研究也证实了快速血管再生的重要性,无论是作为第一传递效应或过程持续时间30分钟。远端栓塞并发症,阻碍血管再生的程度和速度,但很少有研究报道其每通过一次发生。 Distal embolization and emboli to new territory should be measured after each thrombectomy maneuver. Collaterals have been shown to be an important modifier of thrombectomy benefit. A drawback of the currently accepted collateral grading scale is that it does not discriminate among the broad spectrum of partial collateralization. Important questions that require investigation include reasons for failed revascularization, the utility of a global Treatment in Cerebral Ischemia scale, and the optimal grading system for vertebrobasilar occlusions.Summary Emerging data support a lead technical efficacy endpoint that combines the extent and speed of reperfusion. Efforts are needed to better characterize angiographic measures of treatment harm and of collateralization.ACA=anterior cerebral artery; ASITN=American Society of Interventional and Therapeutic Neuroradiology; eASITN=expanded American Society of Interventional and Therapeutic Neuroradiology; ENT=emboli to new territory; eTICI=expanded Treatment in Cerebral Ischemia scale; FPE=first-pass effect; IAT=intraarterial stroke therapy; ICA=internal carotid artery; IMS=Interventional Management of Stroke; INT=infarct in new territory; MCA=middle cerebral artery; mRS=modified Rankin Scale; mTICI=modified Treatment in Cerebral Ischemia; OR=odds ratio; oTICI=original Treatment in Cerebral Ischemia; PT=procedure time; SIR=Society of Interventional Radiology; TICI=Treatment in Cerebral Ischemia; TIMI=Thrombolysis in Myocardial Ischemia