کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4237034 1282974 2016 17 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Meta-Analysis of Local Endovascular Therapy for Acute Ischemic Stroke
ترجمه فارسی عنوان
متاآنالیز درمان آندوسکوپی محلی برای سکته مغزی ایسکمیک حاد
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی رادیولوژی و تصویربرداری
چکیده انگلیسی
A meta-analysis was performed to assess randomized controlled trials comparing local endovascular therapy (with and without intravenous thrombolysis) versus standard care (intravenous thrombolysis alone when appropriate) for acute ischemic stroke. Local endovascular therapy showed a significant improvement in functional independence versus standard care (odds ratio, 1.779; 95% confidence interval, 1.262-2.507; P < .001). This benefit strengthened further on subgroup analyses of trials in which a majority of cases used stent retrievers, trials with intravenous thrombolysis use in both arms when appropriate, and trials that required preprocedural imaging of all patients. There were no significant differences between arms in terms of mortality, hemicraniectomy, intracranial hemorrhage, and cerebral edema rates (P > .05). In conclusion, in the treatment of acute ischemic stroke, local endovascular therapy leads to improved functional independence compared with standard care.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Vascular and Interventional Radiology - Volume 27, Issue 3, March 2016, Pages 307-321.e2
نویسندگان
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