RT期刊文章SR电子T1周期性管理期间中风血栓切除术摩根富林明神经病学神经学乔FD Lippincott Williams &威尔金斯SP OP S114做10.1212 / WNL[首页希腊悲剧诗人]。0000000000012798签证官97年20补充2 A1老人z西蒙森A1朱利安Bosel A1马德斯拉斯穆森年2021 UL //www.ez-admanager.com/content/97/20_Supplement_2/S1首页05.abstract AB评估血管内治疗的目的(EVT)对急性缺血性中风引起的大血管闭塞是一个强大的和以证据为基础的工具来实现再灌注和结果在改善神经系统的结果。焦点已转向优化过程。我们回顾了有关当前文学等周期性中风保健预处理与静脉组织纤溶酶原激活物(tPA),选择麻醉,通风策略,和血压管理。最近发现第四tPA不应该保留在一个中风患者EVT的资格。随机试验的荟萃分析全身麻醉(GA)和程序性镇静与协议为基础的遗传算法更好的神经学结果显示在中心专用neuroanesthesia团队。没有随机试验对血压控制的数据,但根据现有的证据,收缩压应该举行> 140 mm Hg在过程和再灌注后< 160毫米汞柱。在通风的患者中,极度偏离normoxemia和血碳酸正常应该避免。周期性护理总结影响EVT大血管缺血性中风后的结果。更多的证据来自未来的正在进行的和未来的研究迫切需要确定其优化。AIS =急性缺血性中风;ANSTROKE =镇静与全身麻醉对神经血管内治疗急性Stroke-Impact结果; CI=confidence interval; DIRECT-MT=Direct Intra-Arterial Thrombectomy in Order to Revascularize AIS Patients With Large Vessel Occlusion Efficiently in Chinese Tertiary Hospitals; EVT=endovascular therapy; EXTEND-IA TNK=Tenecteplase Versus Alteplase Before Endovascular Therapy for Ischemic Stroke; GA=general anesthesia; GOLIATH=General or Local Anaesthesia in Intra Arterial Therapy; HERMES=Highly Effective Reperfusion Evaluated in Multiple Endovascular Stroke; LVO=large vessel occlusion; MAP=mean arterial blood pressure; MR CLEAN=Multicenter Randomized Clinical Trial of Endovascular Treatment for Acute Ischemic Stroke in the Netherlands; mRS=modified Rankin Scale; OR=odds ratio; PS=procedural sedation; SBP=systolic blood pressure; sICH=symptomatic intracranial hemorrhage; SIESTA=Sedation Versus Intubation for Endovascular Stroke Treatment; THRACE=Trial and Cost Effectiveness Evaluation of Intra-Arterial Thrombectomy in Acute Ischemic Stroke; tPA=tissue plasminogen activator