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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한뇌혈관외과학회 Journal of Cerebrovascular and Endovascular Neurosurgery Journal of Cerebrovascular and Endovascular Neurosurgery Vol.23 No.4
- 발행연도
- 2021.12
- 수록면
- 354 - 358 (5page)
- DOI
- 10.7461/jcen.2021.E2021.01.003
이용수
초록· 키워드
오류제보하기
Five trials published in 2015 showed the benefit of endovascular thrombectomy (ET) in patients with stroke and large vessel occlusion, extending the treatment window has become an obsession of all physicians. In 2018, the DAWN and DEFUSE-3 trials showed that, with careful selection of patients, the procedure could be carried out up to 24 hours after symptom onset with good outcomes. In addition, there have been cases where the DAWN criteria were met, and treatment occurred >24 hours after symptom onset. We present the case of a 68-year-old female whose groin puncture occurred 52 hours after the time last known well (TLKW), after neurological worsening of the initial situation, with a large mismatch ratio observed on magnetic resonance imaging, achieving TICI (the Thrombolysis in Cerebral Infarction scale) grade 3 recanalization. Five days after the procedure, the patient was discharged with NIHSS (National Institutes of Health Stroke Scale) score of 3. Some types of collateral circulation (slow progressors and “turtle” progressors, our term for very slow progressors) can extend the treatment window beyond 24 hours of the TLKW but can lead to a hyperperfusion-like syndrome immediately after the ET. Further studies are needed to evaluate the reproducibility of this hypothetical syndrome.
목차
등록된 정보가 없습니다.
참고문헌 (14)
참고문헌 신청
Aguilar-Salinas P / 2018 / Revisiting the therapeutic time window dogma: successful thrombectomy 6 days after stroke onset / BMJ Case Reports 2018
Albers GW / 2018 / Thrombectomy for stroke at 6 to 16 hours with selection by perfusion imaging / N Engl J Med 378(8):708~718
Berkhemer OA / 2015 / A randomized trial of intraarterial treatment for acute ischemic stroke / N Engl J Med 372(1):11~20
Campbell BCV / 2015 / Endovascular therapy for ischemic stroke with perfusion-imaging selection / N Engl J Med 372(11):1009~1018
Chu YT / 2020 / Contrast-induced encephalopathy after endovascular thrombectomy for acute ischemic stroke / Stroke 51(21):3756~3759
Albers GW / 2018 / Thrombectomy for stroke at 6 to 16 hours with selection by perfusion imaging / N Engl J Med 378(8):708~718
Berkhemer OA / 2015 / A randomized trial of intraarterial treatment for acute ischemic stroke / N Engl J Med 372(1):11~20
Campbell BCV / 2015 / Endovascular therapy for ischemic stroke with perfusion-imaging selection / N Engl J Med 372(11):1009~1018
Chu YT / 2020 / Contrast-induced encephalopathy after endovascular thrombectomy for acute ischemic stroke / Stroke 51(21):3756~3759
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