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Safety of endovascular therapy for symptomatic intracranial artery stenosis:a national prospective registry

Stroke & Vascular Neurology 2022年第2期7卷 166-171页

作者： Yabing Wang Tao Wang Adam Andrew Dmytriw Kun Yang Liqun Jiao Huaizhang Shi Jie Lu Tianxiao Li Yujie Huang Zhenwei Zhao Wei Wu Jieqing Wan Qinjian Sun Bo Hong Yongli Li Liyong Zhang Jianfeng Chu Qiong Cheng Yiling Cai Pengfei Wang Qi Luo Hua Yang Baijing Dong Yang Zhang Jun Zhao Zuoquan Chen Wei Li Xiaoxin Bai Weiwen He Xueli Cai Maimai Ti osama o zaidat Department of Neurosurgery Xuanwu HospitalBeijingChina Neuroendovascular Program Massachusetts General HospitalBostonMassachusettsUSA Department of Evidence-Based Medicine Xuanwu HospitalBeijingChina Department of Neurosurgery First Affiliated Hospital of Harbin Medical UniversityHarbinHeilongjiangChina Department of Radiology Xuanwu HospitalBeijingChina Center of Neurointerventional Therapy Henan Provincial People's HospitalZhengzhouChina Department of Neurology Nanjing Drum Tower HospitalNanjingJiangsuChina Department of Neurosurgery Tangdu Hospital Fourth Military Medical UniversityXi'anShaanxiChina Department of Neurology Shandong University Qilu HospitalJinanShandongChina Department of Neurosurgery Shanghai Jiao Tong University School of Medicine Affiliated Renji HospitalShanghaiShanghaiChina Department of Neurology Shandong Provincial HospitalJinanShandongChina Neusurgery Changhai HospitalShanghaiChina Department of Neurosurgery Second Affiliated Hospital of Harbin Medical UniversityHarbinHeilongjiangChina Department of Neurosurgery Liaocheng People's HospitalLiaocheng CityShandongChina Department of Neurosurgery Jining First People's HospitalJiningShandongChina Department of Neurology Fujian Provincial HospitalFuzhouFujianChina Department of Neurology 306 Hospital of People's Liberation ArmyBeijingChina Department of Neurosurgery Tianjin Huanhu HospitalTianjinTianjinChina Department of Neurosurgery Jilin University First HospitalChangchunJilinChina Department of Neurology Affiliated Hospital of Guiyang Medical CollegeGuiyangGuizhouChina Department of Neurosurgery Fourth Affiliated Hospital of Harbin Medical UniversityHarbinHeilongjiangChina Department of Neurosurgery Peking University First HospitalBeijingBeijingChina Department of Neurology Liaocheng Second People's HospitalLiaochengChina Department of Neurology Shanghai Tenth People's HospitalShanghaiChina Department of Neurosurgery Tianjin Medical University General HospitalTianjinTianjin

Introduction The safety outcomes of endovascular therapy for intracranial artery stenosis in a real-world stetting are largely *** Clinical Registration Trial of Intracranial Stenting for Patients with Symptomatic Intracranial Artery Stenosis(CRTICAS)was a prospective,multicentre,real-world registry designed to assess these outcomes and the impact of centre *** 1140 severe,symptomatic intracranial arterial stenosis(ICAS)patients treated with endovascular therapy were included from 26 centres,further divided into three groups according to the annual centre volume of intracranial angioplasty and stent placement procedures over 2 years:(1)high volume for≥25 cases/year;(2)moderate volume for 10–25 cases/year and(3)low volume forof 30-day stroke,transient ischaemic attack or death was 9.7%(111),with 5.4%,21.1%and 9.7%in high-volume,moderate-volume and low-volume centres,respectively(pogistic regression confirmed high-volume centres had a significantly lower primary endpoint compared with moderate-volume centres(oR=0.187,95%CI:0.056 to 0.627;p≤0.0001),while moderate-volume and low-volume centres showed no significant difference(p=0.8456).Conclusion Compared with the preceding randomised controlled trials,this real-world,prospective,multicentre registry shows a lower complication rate of endovascular treatment for symptomatic ***-uniform utilisation in endovascular technology,institutional experience and patient selection in different volumes of centres may have an impact on overall safety of this treatment.

关键词： intracranial prospective stenosis

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机械血栓切除术综合性卒中中心的要求和卒中血管内治疗医疗体系：血管和介入神经病学学会（SVIN）卒中血管内治疗标准委员会的推荐意见

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国际脑血管病杂志 2017年第6期25卷 498-505页

作者： Joey D. English Dileep R. Yavagal Rishi Gupta Vallabh Janardhan osama o. zaidat Andrew R. Xavier Raul G. Nogueira Jawad F. Kirmani Tudor G. Jovin 刘晓昀许岩孙文 From the Neurointerventional Surgery California Pacific Medical Center San Francisco Calif. Neurology and Neurosurgery University of Miami School of Medicine Miami Fla. Neurosurgery WellStar Medical Group Marietta Ga. Neurology Medical City Dallas Hospital Dallas Tex. Medical College of Wisconsin Milwaukee Wis. Neurology Detroit Medical Center Detroit Mich. Emory University School of Medicine Atlanta Ga. Stroke and Neurovascular Center JFK Medical Center Edison N.J. Neurology University of Pittsburgh Medical Center Pittsburgh Pa. 南京大学医学院附属金陵医院(南京军区南京总医院)神经内科 210002

最近，5项具有里程碑意义的多中心、前瞻性、随机、开放标签、盲法终点的临床试验证实，在伴有颅内大血管闭塞的急性缺血性卒中（acute ischemic stroke，AIS）患者中，应用机械血栓切除术进行血管内治疗具有显著的临床获益。血管和介... 详细信息

最近，5项具有里程碑意义的多中心、前瞻性、随机、开放标签、盲法终点的临床试验证实，在伴有颅内大血管闭塞的急性缺血性卒中（acute ischemic stroke，AIS）患者中，应用机械血栓切除术进行血管内治疗具有显著的临床获益。血管和介入神经病学学会（Society of Vascular and Interventional，SVIN）任命了一个专业写作委员会来总结这些新证据，并就如何应用这些数据指导AIS患者的急诊血管内治疗提出了推荐意见。

关键词：急性缺血性卒中大血管闭塞机械取栓术医疗体系

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急性卒中影像学研究路径图Ⅱ

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国际脑血管病杂志 2014年第2期22卷 81-92页

作者： Max Wintermark Gregory W. Albers Joseph P. Broderick Andrew M. Demchuk Jochen B. Fiebach Jens Fiehler James C. Grotta Gary Houser Tudor G. Jovin Kennedy R. Lees Michael H. Lev David S. Liebeskind Marie Luby Keith W. Muir Mark W. Parsons Rudiger von Kummer Joanna M. Wardlaw ona Wu Albert J. Yoo Andrei V. Alexandrov Jeffry R. Alger Richard I. Aviv Roland Bammer Jean-Claude Baron Fernando Calamante Bruce C.V. Campbell Trevor C. Carpenter Sφren Christensen William A. Copen Colin P. Derdeyn E. Clarke Haley Jr Pooja Khatri Kohsuke Kudo Maarten G. Lansberg Lawrence L. Latour Ting-Yim Lee Richard Leigh Weili Lin Patrick Lyden Grant Mair Bijoy IC Menon Patrik Michel Robert Mikulik Raul G. Nogueira Left φstergaard Salvador Pedraza Christian H. Riedel Howard A. Rowley Pina C. Sanelli Makoto Sasaki Jeffrey L. Saver Pamela W. Schaefer Peter D. Schellinger Georgios Tsivgoulis Lawrence R. Wechsler Philip M. White Greg Zaharchuk osama o. zaidat Stephen M. Davis Geoffrey A. Donnan Anthony J. Furlan Werner Hacke Dong-Wha Kang Chelsea Kidw ell Vincent N. Thijs Gotz Thomalla Steven J. Warach 严晓铭刘牧张晶晶柯开富不详南通大学附属医院神经内科 226001

卒中影像学研究组（StrokeImagingResearchGroup，STIR）、美国神经放射学学会和美国神经放射学学会基金会在过去1年多的时间时举办了一系列的工作会议，最后一次会议于2013年3月9日至10日在华盛顿召开的卒中治疗专业学术圆桌会议（Stro... 详细信息

卒中影像学研究组（StrokeImagingResearchGroup，STIR）、美国神经放射学学会和美国神经放射学学会基金会在过去1年多的时间时举办了一系列的工作会议，最后一次会议于2013年3月9日至10日在华盛顿召开的卒中治疗专业学术圆桌会议（Stroke Treatment Academy Industry Roundtable，STAIR）期间举行。

关键词：急性卒中影像学神经放射学路径会议基金会学会美国

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Decline in subarachnoid haemorrhage volumes associated with the first wave of the CoVID- 19 pandemic

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Stroke & Vascular Neurology 2021年第4期6卷 542-552,I0026-I0032页

作者： Thanh N Nguyen Diogo C Haussen Muhammad M Qureshi Hiroshi Yamagami Toshiyuki Fujinaka ossama Y Mansour Mohamad Abdalkader Michael Frankel Zhongming Qiu Allan Taylor Pedro Lylyk omer F Eker Laura Mechtouff Michel Piotin Fabricio oliveira Lima Francisco Mont'Alverne Wazim Izzath Nobuyuki Sakai Mahmoud Mohammaden Alhamza R Al-Bayati Leonardo Renieri Salvatore Mangiafico David ozretic Vanessa Chalumeau Saima Ahmad Umair Rashid Syed Irteza Hussain Seby John Emma Griffin John Thornton Jose Antonio Fiorot Rodrigo Rivera Nadia Hammami Anna M Cervantes-Arslanian Hormuzdiyar H Dasenbrock Huynh Le Vu Viet Quy Nguyen Steven Hetts Romain Bourcier Romain Guile Melanie Walker Malveeka Sharma Don Frei Pascal Jabbour Nabeel Herial Fawaz Al-Mufti Atilla ozcan ozdemir ozlem Aykac Dheeraj Gandhi Chandril Chugh Charles Matouk Pascale Lavoie Randall Edgell Andre Beer-Furlan Michael Chen Monika Killer-oberpfalzer Vitor Mendes Pereira Patrick Nicholson Vikram Huded Nobuyuki ohara Daisuke Watanabe Dong Hun Shin Pedro SC Magalhaes Raghid Kikano Santiago ortega-Gutierrez Mudassir Farooqui Amal Abou-Hamden Tatsuo Amano Ryoo Yamamoto Adrienne Weeks Elena A Cora Rotem Sivan-Hoffmann Roberto Crosa Markus Möhlenbruch Simon Nagel Hosam Al-Jehani Sunil A Sheth Victor S Lopez Rivera James E Siegler Achmad Fidaus Sani Ajit S Puri Anna Luisa Kuhn Gianmarco Bernava Paolo Machi Daniel G Abud octavio M Pontes-Neto Ajay K Wakhloo Barbara Voetsch Eytan Raz Shadi Yaghi Brijesh P Mehta Naoto Kimura Mamoru Murakami Jin Soo Lee Ji Man Hong Robert Fahed Gregory Walker Eiji Hagashi Steve M Cordina Hong Gee Roh Ken Wong Juan F Arenillas Mario Martinez-Galdamez Jordi Blasco Alejandro Rodriguez Vasquez Luisa Fonseca M Luis Silva Teddy Y Wu Simon John Alex Brehm Marios Psychogios William J Mack Matthew Tenser Tatemi Todaka Miki Fujimura Roberta Novakovic Jun Deguchi Yuri Sugiura Hiroshi Tokimura Rakesh Khatri Michael Kelly Lissa Peeling Yuichi Murayama Hugh Stephen Winters Johnny Wong Mohamed Teleb Jeremy Payne Hiroki Fukuda Kosuke Miyake Junsuke Shimbo Yusuke Sug Neurology RadiologyBoston Medical CenterBostonMassachusettsUSA Neurology Marcus Stroke&Neuroscience CenterGrady Memorial HospitalEmory University School of MedicineAtlantaGAUSA Radiology Radiation OncologyBoston University School of MedicineBostonMassachusettsUSA Neurology National Hospital Organization Osaka National HospitalOsakaJapan Neurosurgery National Hospital Organization Osaka National HospitalOsakaJapan Neurology Alexandria UniversityAlexandriaEgypt Radiology Boston Medical CenterBostonMassachusettsUSA Department of Neurology Xinqiao HospitalChongqingChina Neurosurgery University of Cape TownRondeboschWestern CapeSouth Africa Neurosurgery Interventional NeuroradiologyClinica La Sagrada FamiliaBuenos AiresArgentina Neuroradiologie Neurologie VasculaireHospices Civils de LyonLyonAuvergne-Rhône AlpesFrance Neurologie Vasculaire Hospices Civils de LyonLyonAuvergne-Rhône AlpesFrance Interventional Neuroradiology Fondation Ophtalmologique Adolphe de RothschildParisÎle-de FranceFrance Neurology Hospital Geral de FortalezaFortalezaBrazil Interventional Neuroradiology Hospital Geral de FortalezaFortalezaBrazil Neuroradiology Nottingham University Hospitals NHS TrustNottinghamUK Department of Neurosurgery Kobe City Medical Center General HospitalKobeHyogoJapan Interventional Neurovascular Unit University Hospital CareggiFirenzeToscanaItaly Neuroradiology University Hospital Centre ZagrebZagrebCroatia Interventional Neuroradiology Hopital BicetreLe Kremlin-BicetreFrance Stroke and Interventional Neuroradiology Lahore General HospitalLahorePakistan Neurological Institute Cleveland Clinic Abu DhabiAbu DhabiUAE Department of Radiology Beaumont HospitalDublinIreland Neurology Stroke UnitHospital-Estadual CentralVitoriaBrazil Neuroradiology Instituto de Neurocirugia Dr AsengoSantiagoChile Interventional Neuroradiology Institut National de NeurologieTunisTunisia Neurology Boston Medical CenterBostonMassachusettsUSA Neurosurgery Boston Medical Center

Background During the CoVID-19 pandemic,decreased volumes of stroke admissions and mechanical thrombectomy were *** study’s objective was to examine whether subarachnoid haemorrhage(SAH)hospitalisations and ruptured aneurysm coiling interventions demonstrated similar *** We conducted a cross-sectional,retrospective,observational study across 6 continents,37 countries and 140 comprehensive stroke *** with the diagnosis of SAH,aneurysmal SAH,ruptured aneurysm coiling interventions and CoVID-19 were identified by prospective aneurysm databases or by International Classification of Diseases,10th Revision,*** 3-month cumulative volume,monthly volumes for SAH hospitalisations and ruptured aneurysm coiling procedures were compared for the period before(1 year and immediately before)and during the pandemic,defined as 1 March-31 May *** prior 1-year control period(1 March-31 May 2019)was obtained to account for seasonal *** There was a significant decline in SAH hospitalisations,with 2044 admissions in the 3 months immediately before and 1585 admissions during the pandemic,representing a relative decline of 22.5%(95%CI−24.3%to−20.7%,polisation of ruptured aneurysms declined with 1170-1035 procedures,respectively,representing an 11.5%(95%CI−13.5%to−9.8%,p=0.002)relative *** analysis was noted for aneurysmal SAH hospitalisation decline from 834 to 626 hospitalisations,a 24.9%relative decline(95%CI−28.0%to−22.1%,poiling was noted in low coiling volume hospitals of 41.1%(95%CI 32.3%to 50.6%,p=0.008)despite a decrease in SAH admissions in this *** There was a relative decrease in the volume of SAH hospitalisations,aneurysmal SAH hospitalisations and ruptured aneurysm embolisations during the CoVID-19 *** findings in SAH are consistent with a decrease in other emergencies,such as stroke and myocardial infarction.

关键词： diagnosis representing subarachnoid

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血管和介入神经病学学会（SVIN）卒中介入实验室共识（SILC）标准：在大血管闭塞性卒中机械血栓切除时代用于建立卒中介入实验室的7 M管理方法

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国际脑血管病杂志 2017年第6期25卷 481-497页

作者： Tanzilia Shams osama zaidat Dileep Yavagal Andrew Xavier Tudor Jovin Vallabh Janardhan 段振晖胡挺朱武生 Frome the Texas Stroke Institute HCA North Texas DivisionDallas-Fort Worth Tex. Mercy Neuroseience and Stroke Center Toledo Ohio JacksonMemorial Hospital University of Miami Health System Miami Fla. Detroit Medical Center Wayne State UniversityDetroit Mich. UPMC Stroke Institute University of Pittsburgh Medical Center Pittsburg Pa. 南方医科大学南京临床医学院南京军区南京总医院神经内科 210002

与过去20年里心肌梗死介入治疗的发展相似，卒中介入治疗正在迅速发展。随着卒中介入治疗在全球范围内呈指数级增长，在对卒中介入实验室进行标准化以便于安全、有效和及时治疗方面显然存在未能满足的需求。为了实现这一目标，血管和介... 详细信息

与过去20年里心肌梗死介入治疗的发展相似，卒中介入治疗正在迅速发展。随着卒中介入治疗在全球范围内呈指数级增长，在对卒中介入实验室进行标准化以便于安全、有效和及时治疗方面显然存在未能满足的需求。为了实现这一目标，血管和介入神经病学学会（Society of Vascular and Interventional Neurology, SVIN）写作委员会采用7M管理方法制定了卒中介入实验室共识（Stroke Interventional Laboratory Consensus, SILC）标准，用于卒中中心内各卒中介入实验室的建设和标准化。SILC标准包括：（1）人力：包括医疗和行政主管、主治医师、住院医师、后备人员以及卒中生存链内的所有相关人员；（2）设备：硬件设施和血管造影设备；（3）材料：医疗器械库存、药品和血管造影用品；（4）方法：用于优化卒中诊治流程的标准化方案；（5）数量指标：针对单位和介入医师的现有认证标准；（6）质量指标：用作质量保证的基准；（7）安全指标：辐射和操作安全实践标准。

关键词：急性缺血性卒中大血管闭塞血管内治疗卒中干预质量标准

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