Evolution and development tendency of time window for recanalization of occlusive vessels in acute ischemic stroke
10.3760/cma.j.cn115354-20240605-00331
- VernacularTitle:急性缺血性脑卒中血管开通治疗时间窗的演变及发展趋势
- Author:
Zongen GAO
1
;
Ye LANG
;
Wenhu LIU
Author Information
1. 胜利油田中心医院神经内科,东营 257034
- Keywords:
Acute ischemic stroke;
Time window;
Intravenous thrombolysis;
Endovascular thrombectomy
- From:
Chinese Journal of Neuromedicine
2024;23(7):741-747
- CountryChina
- Language:Chinese
-
Abstract:
The most effective treatment for acute ischemic stroke is early recanalization of the occlusive vessels, including intravenous thrombolysis and endovascular thrombectomy. But the time window is narrow and limited patients can actually benefit from these therapies. In recent years, with the development of neuroimaging techniques such as CT perfusion and MRI, as well as advanced image analysis software applicated in clinical research, the time window of these two methods has been significantly extended. This article reviews the evolution and future development of the time window for early recanalization of the occlusive vessels in acute ischemic stroke, especially the extended time window, in order to provide some references for clinical work.