医学
半影
冲程(发动机)
随机对照试验
血管内治疗
临床试验
心脏病学
内科学
外科
机械工程
缺血
工程类
动脉瘤
作者
Seong‐Joon Lee,Ji Man Hong,Jong Seung Kim,Jin Soo Lee
出处
期刊:Journal of stroke
[Korean Stroke Society]
日期:2022-05-31
卷期号:24 (2): 207-223
被引量:20
标识
DOI:10.5853/jos.2022.00941
摘要
The efficacy of endovascular treatment (EVT) in patients with posterior circulation stroke has not been proven. Two recent randomized controlled trials failed to show improved functional outcomes after EVT for posterior circulation stroke (PC-EVT). However, promising results for two additional randomized controlled trials have also been presented at a recent conference. Studies have shown that patients undergoing PC-EVT had a higher rate of futile recanalization than those undergoing EVT for anterior circulation stroke. These findings call for further identification of prognostic factors beyond recanalization. The significance of baseline clinical severity, infarct volume, collaterals, time metrics, core-penumbra mismatch, and methods to accurately measure these parameters are discussed. Furthermore, their interplay on EVT outcomes and the potential to individualize patient selection for PC-EVT are reviewed. We also discuss technical considerations for improving the treatment efficacy of PC-EVT.
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