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급성허혈뇌졸중의 혈관내재개통치료에 대한 최신 지견

An Update of Recent Guideline for the Endovascular Recanalization Therapy in Acute Ischemic Stroke

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초록

Endovascular recanalization therapy (ERT) has been proven its efficacy in improving prognosis of acute ischemic stroke with intracranial large artery occlusion. Before the DAWN and DEFUSE 3 trials, ERT was recommended for stroke patients who could be treated within 6 hours after the onset of symptoms and the prognosis after ERT has been known time-dependent. However, the most recently published 2 ERT trials performed more than time window of 6 hours showed significant efficacy of ERT to compare with conservative therapy in selected patients. Now we should apply the result of new trials of ERT in the extended time window clinically. Herein, the result of recent ERT trials and the predictive factors affecting prognosis beyond the concept of time in ERT will be discussed.

Abstract

Endovascular recanalization therapy (ERT) has been proven its efficacy in improving prognosis of acute ischemic stroke with intracranial large artery occlusion. Before the DAWN and DEFUSE 3 trials, ERT was recommended for stroke patients who could be treated within 6 hours after the onset of symptoms and the prognosis after ERT has been known time-dependent. However, the most recently published 2 ERT trials performed more than time window of 6 hours showed significant efficacy of ERT to compare with conservative therapy in selected patients. Now we should apply the result of new trials of ERT in the extended time window clinically. Herein, the result of recent ERT trials and the predictive factors affecting prognosis beyond the concept of time in ERT will be discussed.

참고문헌 (29)

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급성허혈뇌졸중에서 혈관내재개통치료 진료지침 개정고상배, 김범수, 김범태, 김병문, 나정호, 박석규, 배희준, 오창완, 유경호, 윤병우, 이병철, 장철훈, 정진상, 정철규, 허지회, 홍근식대한신경과학회 · 대한신경과학회지2016 · 제34권 제4호Update of the Korean Clinical Practice Guidelines for Endovascular Recanalization Therapy in Patients with Acute Ischemic Stroke고상배, 김범수, 김범태, 김병문, 나정호, 박석규, 배희준, 오창완, 유경호, 윤병우, 이병철, 장철훈, 허지회, Cheolkyu Jung, Chin-Sang Chung, Keun-Sik Hong대한뇌졸중학회 · 대한뇌졸중영문학회지2016 · 제18권 제1호2019 급성 허혈뇌졸중 환자에서 혈관내재개통치료 진료지침 개정강동훈, 고상배, 권순억, 김병문, 김종성, 나정호, 박홍균, 배희준, 서상현, 윤병우, 이병철, 정철규, 정해웅, 허지회, 홍근식대한신경과학회 · 대한신경과학회지2020 · 제38권 제2호한국 뇌졸중 진료지침 급성기 치료 중 혈전용해술에 대한 내용의 부분개정고상배, 권순억, 권오기, 김대현, 나정호, 박희권, 배희준, 오창완, 유경호, 윤병우, 이병철, 조경희, 조아현, 허지회, 홍근식대한뇌졸중학회 · 대한뇌졸중영문학회지2012 · 제14권 제3호경증 급성 뇌경색 환자에서 정맥내혈전용해술 및 혈관내혈전제거술김대현대한신경과학회 · 대한신경과학회지2021 · 제39권 제1호2019 Update of the Korean Clinical Practice Guidelines of Stroke for Endovascular Recanalization Therapy in Patients with Acute Ischemic Stroke강동훈, Byung-Chul Lee, Byung Moon Kim, Byung-Woo Yoon, Cheolkyu Jung, Hae Woong Jeong, Hee-Joon Bae, Hong-Kyun Park, Ji Hoe Heo, Jong S. Kim, Joung-Ho Rha, Keun-Sik Hong, Sang-Bae Ko, Sang Hyun Suh, Sun U. Kwon대한뇌졸중학회 · 대한뇌졸중영문학회지2019 · 제21권 제2호

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