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Neurology: Intravascular thrombus removal + intravenous thrombolysis, the treatment of large blood vessel strokes will benefit more

 Last Update: 2021-06-28
 Source: Internet
 Author: User

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In stroke Intravenous thrombolysis (IVT) with alteplase A 4.

Stroke

However, the outcome after a stroke is closely related to the severity of the initial stroke and the location of the vascular occlusion.

Vascular Thrombosis

Two meta-analysis confirmed that thrombectomy can make the arterial recanalization rate high, and can significantly improve the functional prognosis after 3 months, and the mortality rate does not increase

Two recent RCTs in China showed non-inferiority compared to direct EVT combined with IVT, while one RCT in Japan showed no non-inferiority

Compared with EVT alone, patients who received EVT+IVT achieved significantly better functional results, and this association was still significant after the propensity score was matched

As a result, Niaz Ahmed and others of Karolinska University in Sweden have identified the center for continuous recording of 10 patients in SITS-ISTR.

PSM (propensity score matched) analysis showed that the functional independence rate of patients with IVT+EVT was higher than that of patients with EVT alone (46.

The functional independence rate of patients with IVT+EVT was higher than that of patients with EVT alone (46.

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