PT -期刊文章盟罗伯塔·l·Novakovic AU -伽柏托斯盟桑德拉Narayanan AU -奥萨马o . Zaidat TI -可收回支架,“stentrievers,血管内治疗急性缺血性中风的援助- 10.1212 / WNL。0 b013e3182697e9e DP - 2012年9月25日TA -神经首页病学PG - S148 S157 VI - 79 IP - 13补充1 4099 - //www.ez-admanager.com/content/79/13_Supplement_1/S148.short 4100 - //www.ez-admanager.com/content/79/13_Supplement_1/S148.full所以Neurology2012 9月25日;79 AB -血管内治疗急性缺血性中风继续改进,以提高疗效和安全性。在1990年代末,动脉内的化学溶栓与prourokinase被证明是有效的在实现部分再通和改善临床结果,与动脉内的肝素相比管理。然而,这是为代价增加症状性颅内出血率为10%。改善血管再通的速度,扩大时间窗口,并减少症状性颅内出血的风险,介绍了机械血栓切除术,与初始批准谢谢血栓猎犬,corkscrew-like设备,然后最近批准的半影thromboaspiration系统。设备都关联到一个高速率的血管再通(全部、部分和完成)。然而,血管再通时间平均45分钟,分辨率低的完整的凝块,鉴于大多数病人只实现部分再通。在最近,可收回支架减少血管再通,和他们达到更高的完整的凝块解决与改进的可行性。内的可收回支架可以打开支架内血栓与它struts,随后它被拉下流动被捕。 The retrievable stents provide a new tool in the armamentarium of devices that can be used to achieve safe and timely clot removal. This review provides the historical evolution of endovascular therapy to use of stentreivers. AIS=acute ischemic stroke; CI=confidence interval; ECASS=European Cooperative Acute Stroke Study; FDA=US Food and Drug Administration; IA=intra-arterial; ICA=internal carotid artery; ICH=intracerebral hemorrhage; IMS=Interventional Management of Stroke; MCA=middle cerebral artery; mRS=modified Rankin Scale; NIHSS=NIH Stroke Scale; NINDS=National Institute of Neurological Disorders and Stroke; OR=odds ratio; PROACT=Prolyse in Acute Cerebral Thromboembolism; RSs=retrievable stents; rtPA=recombinant tissue plasminogen activator; SESs=self-expanding stents; SWIFT=Solitaire FR With the Intention for Thrombectomy; TICI=thrombolysis in cerebral ischemia; TIMI=thrombolysis in myocardial infarction