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Chinese Journal of Neurotraumatic Surgery(Electronic Edition) ›› 2019, Vol. 05 ›› Issue (05): 310-314. doi: 10.3877/cma.j.issn.2095-9141.2019.05.013

Special Issue:

• Review • Previous Articles     Next Articles

Recent advance in selecting patients about endovascular treatment of acute ischemic stroke

Xingyu Liang1, Ruxiang Xu2,(), Chunyang Liang2   

  1. 1. Dongzhimen Middle School, Beijing 100700, China
    2. Department of Neurosurgery, Seventh Medical Center of PLA General Hospital, Beijing 100700, China
  • Received:2019-05-18 Online:2019-10-15 Published:2019-10-15
  • Contact: Ruxiang Xu
  • About author:
    Corresponding author: Xu Ruxiang, Email:

Abstract:

The incidence of acute ischemic stroke rises year by year, and has a high disability rate and mortality rate. Due to limitations of intravenous alteplase in the treatment of acute ischemic stroke, five randomized trials have demonstrated the benefit of new-generation endovascular recanalization therapies (primarily stent retrievers) over medical therapy alone among patients with acute ischemic stroke since 2015, and the guidelines with acute ischemic stroke guidelines have updated in many countries. This review focuses on five major clinical studies and the latest guidelines in Europe and the United States on the selection of suitable stroke patients for mechanical thrombectomy. The following is a review of the research progress.

Key words: Acute ischemic stroke, Endovascular treatment, Mechanical thrombectomy

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