التفاصيل البيبلوغرافية
| العنوان: |
Thrombolysis and thrombectomy for acute ischaemic stroke. |
| المؤلفون: |
Tawil, Salwa El1, Muir, Keith W.2 keith.muir@glasgow.ac.uk |
| المصدر: |
Clinical Medicine. Apr2017, Vol. 17 Issue 2, p161-165. 5p. |
| مصطلحات موضوعية: |
*TISSUE plasminogen activator, *STROKE treatment, *MEDICAL protocols, *THROMBOLYTIC therapy, *THROMBOSIS, *VEIN surgery, *CONTINUING medical education, *TREATMENT effectiveness, *CONTINUING education units, *ACUTE diseases, *THERAPEUTICS, CEREBRAL ischemia treatment |
| مستخلص: |
The likelihood of disability-free recovery after acute ischemic stroke is significantly improved by reperfusion either by intravenous thrombolytic drug treatment or with endovascular mechanical thrombectomy in selected cases. The use of intravenous thrombolysis is limited by the short treatment window and you need to assess individual balance of benefit and risk of symptomatic intracranial haemorrhage. Benefit is greater for shorter onset-to-reperfusion time intervals, requiring optimisation of pre-hospital and inhospital pathways. Symptomatic haemorrhage is more likely with more severe strokes, but a greater proportion of patients are left free of disability than suffer a treatment-related haemorrhage at all levels of severity. Extracranial haemorrhage and orolingual angioedema are less common complications. Endovascular mechanical thrombectomy can be used in selected patients with imaging-proven large artery occlusion. Successful therapy depends on well-organised services that can deliver treatment within a short time window at centres with adequate expertise to perform the procedure. [ABSTRACT FROM AUTHOR] |
| قاعدة البيانات: |
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