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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
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In a meta-analysis of individual patient data from 5 randomized controlled trials, endovascular treatment (EVT) mainly using a stent retriever achieved successful recanalization in 71.1% ofpatients suffering from acute stroke due to anterior circulation large artery occlusion (LAO).
However, EVT still failed in 28.9% of LAO cases in those 5 successful trials. Stent retriever failure may occur due to anatomical challenges (e.g., a tortuous arterial tree from the aortic arch to a target occlusion site), a large quantity of clots, tandem occlusion, clot characteristics (fresh versus organized clots), differentpathomechanisms (embolic versus non-embolic occlusion), etc. Given that recanalization success is the most important factor in the neurological outcome of acute stroke patients, it is important to seek solutions for such difficult cases. In this review, the basic technique of EVT is briefly summarized and then various difficult cases with diverse conditions arediscussed along with suggested solutions.
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참고문헌 (23)
참고문헌 신청
[학술지(
Berkhemer OA / 2015 / A randomized trial of intraarterial treatment for acute ischemic stroke / N Engl J Med 372 : 11 ~ 20
Campbell BC / 2015 / Endovascular stent thrombectomy: the new standard of care for large vessel ischaemic stroke / Lancet Neurol 14 : 846 ~ 854
Campbell BC / 2016 / Safety and efficacy of solitaire stent thrombectomy:individual patient data meta-analysis of randomized trials / Stroke 47 : 798 ~ 806
Campbell BCV / 2015 / Endovascular therapy for ischemic stroke with perfusion-imaging selection / N Engl J Med 372 : 1009 ~ 1018
Berkhemer OA / 2015 / A randomized trial of intraarterial treatment for acute ischemic stroke / N Engl J Med 372 : 11 ~ 20
Campbell BC / 2015 / Endovascular stent thrombectomy: the new standard of care for large vessel ischaemic stroke / Lancet Neurol 14 : 846 ~ 854
Campbell BC / 2016 / Safety and efficacy of solitaire stent thrombectomy:individual patient data meta-analysis of randomized trials / Stroke 47 : 798 ~ 806
Campbell BCV / 2015 / Endovascular therapy for ischemic stroke with perfusion-imaging selection / N Engl J Med 372 : 1009 ~ 1018
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