Factors Contributing to an Efficacious Endovascular Treatment for Acute Ischemic Stroke in Asian Population
| Autor: | Jin Soo Lee, Yang-Ha Hwang, Sung-Il Sohn |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: | |
| Zdroj: | Neurointervention, Vol 16, Iss 2, Pp 91-110 (2021) |
| Druh dokumentu: | article |
| ISSN: | 2093-9043 2233-6273 |
| DOI: | 10.5469/neuroint.2020.00339 |
| Popis: | Although randomized control trials about endovascular treatment (EVT) of emergent large vessel occlusion (LVO) have demonstrated the success of mechanical thrombectomy as the choice of treatment, a wide range of caveats remain unaddressed. Asian patients were rarely included in the trials, thereby raising the question of whether the treatment could be generalized. In addition, there remains a concern on the feasibility of the method with respect to its application against intracranial atherosclerosis (ICAS)-related LVO, frequently observed in the Asian population. It is important to include evidence on ICAS LVO from Asian countries in the future for a comprehensive understanding of LVO etiology. Besides the issues with EVT, prognostic concerns in diabetes patients, acute kidney injury following EVT, neuroprotective management against reperfusion injury, and other peri-EVT issues should be considered in clinical practice. In the current article, we present an in-depth review of the literature that revises information pertaining to such concerns. |
| Databáze: | Directory of Open Access Journals |
| Externí odkaz: |
|