Modern treatment of acute ischemic stroke
Authors:
Petr Widimský 1; Boris Kožnar 2; Ivana Štětkářová 3
Authors place of work:
Kardiolog Kardiocentra 3. LF UK a FN Královské Vinohrady Praha, vedoucí lékař prof. MUDr. Petr Widimský, DrSc., FESC, FACC
1; Radiolog Kardiocentra 3. LF UK a FN Královské Vinohrady Praha, vedoucí lékař prof. MUDr. Petr Widimský, DrSc., FESC, FACC
2; Neurologická klinika 3. LF UK a FN Královské Vinohrady Praha, přednostka doc. MUDr. Ivana Štětkářová, CSc.
3
Published in the journal:
Vnitř Lék 2014; 60(12): 1086-1089
Category:
70. birthday prof. MUDr. Michael Aschermann, DrSc., FESC, FACC
Summary
Acute ischemic stroke is a frequent cause of death and disability. Therepautic scepticism persists both among doctors and lay people. However, modern reperfusion therapy improved outcomes of acute stroke patients – at least of those presenting early after symptom onset. This review presents multidisciplinary approach to acute stroke – cooperation of neurologists, cardiologists and radiologists. Both reperfusion strategies are discussed: catheter-based thrombectomy and thrombolysis.
Key words:
stroke – catheter based thrombectomy – multidisciplinary – reperfusion therapy – thrombolysis
Zdroje
1. Vaško P, Kožnar B, Štětkářová I et al. Acute stroke in a young healthy woman with hormonal contraception: Direct percutaneous thrombectomy with stent-retriever followed by full neurologic recovery. Cor Vasa 2013; 55(2): e107-e110. Dostupné z DOI: <http://dx.doi.org/10.1016/j.crvasa.2013.02.001>.
2. Widimsky P, Koznar B, Peisker T et al. Direct catheter-based thrombectomy in acute ischaemic stroke performed collaboratively by cardiologists, neurologists and radiologists: the single-centre pilot experience (PRAGUE-16 study) EuroIntervention 2014; 10(7): 869–875. Dostupné z DOI: <http://dx.doi.org/10.4244/EIJY14M05_12>.
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10. Ciccone A, Valvassori L, Nichelatti M et al. SYNTHESIS Expansion Investigators. Endovascular treatment for acute ischemic stroke. N Engl J Med 2013; 368(10): 904–913.
11. Rha JH, Saver JL. The impact of recanalization on ischemic stroke outcome: a meta-analysis. Stroke 2007; 38(3): 967–973.
12. Almekhlafi MA, Menon BK, Freiheit EA et al. A Meta-Analysis of Observational Intra-Arterial Stroke Therapy Studies Using the Merci Device, Penumbra System, and Retrievable Stents. AJNR Am J Neuroradiol 2013; 34(1):140–145. Dostupné z DOI : <http://dx.doi.org/10.3174/ajnr.A3276>.
Štítky
Diabetology Endocrinology Internal medicineČlánok vyšiel v časopise
Internal Medicine
2014 Číslo 12
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