RT期刊文章SR电子T1可收回支架,“stentrievers,血管内治疗急性缺血性中风的摩根富林明神经病学神经学乔FD Lippincott Williams &威尔金斯SP S148 OP S157 10.1212 / WNL。首页0 b013e3182697e9e VO 79是13补充1 A1罗伯塔·l·Novakovic A1伽柏托斯A1桑德拉Narayanan A1奥萨马o . Zaidat年2012 UL //www.ez-admanager.com/content/79/13_Supplemen首页t_1/S148.abstract 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。可收回支架提供医疗设备的新工具设备,可用于实现安全、及时的血栓清除。 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

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