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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

国际脑血管病杂志 2017年第6期25卷 498-505页

作者： Jo.y D. English Dileep R. Yavagal Rishi Gupta Vallabh Janardhan osama o. zaidat Andrew R. Xavier Raul G. No.ueira Jawad F. Kirmani Tudo. G. Jo.in 刘晓昀许岩孙文 Fro. the Neuro.nterventio.al Surgery California Pacific Medical Center San Francisco Calif. Neuro.o.y and Neuro.urgery University of Miami School of Medicine Miami Fla. Neuro.urgery WellStar Medical Group Marietta Ga. Neuro.o.y Medical City Dallas Hospital Dallas Tex. Medical Co.lege o. Wisco.sin Milwaukee Wis. Neuro.o.y Detroit Medical Center Detroit Mich. Emo.y University Scho.l o. Medicine Atlanta Ga. Stro.e and Neuro.ascular Center JFK Medical Center Edison N.J. Neuro.o.y 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 stro.e，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 stro.e，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（So.iety o. Vascular and Interventio.al，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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Safety o. endo.ascular therapy fo. sympto.atic intracranial artery steno.is:a natio.al pro.pective registry

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Stro.e & Vascular Neuro.o.y 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.Ho.g Yo.gli Li Liyo.g Zhang Jianfeng Chu Qio.g Cheng Yiling Cai Pengfei Wang Qi Luo.Hua Yang Baijing Do.g Yang Zhang Jun Zhao.Zuo.uan Chen Wei Li Xiao.in Bai Weiwen He Xueli Cai Maimai Ti osama o.zaidat Department o. Neuro.urgery Xuanwu HospitalBeijingChina Neuro.ndo.ascular Pro.ram Massachusetts General HospitalBostonMassachusettsUSA Department o. Evidence-Based Medicine Xuanwu HospitalBeijingChina Department o. Neuro.urgery First Affiliated Hospital of Harbin Medical UniversityHarbinHeilongjiangChina Department o. Radio.o.y Xuanwu HospitalBeijingChina Center o. Neuro.nterventio.al Therapy Henan Provincial People's HospitalZhengzhouChina Department o. Neuro.o.y Nanjing Drum Tower HospitalNanjingJiangsuChina Department o. Neuro.urgery Tangdu Hospital Fourth Military Medical UniversityXi'anShaanxiChina Department o. Neuro.o.y Shandong University Qilu HospitalJinanShandongChina Department o. Neuro.urgery Shanghai Jiao Tong University School of Medicine Affiliated Renji HospitalShanghaiShanghaiChina Department o. Neuro.o.y Shandong Provincial HospitalJinanShandongChina Neusurgery Changhai HospitalShanghaiChina Department o. Neuro.urgery Second Affiliated Hospital of Harbin Medical UniversityHarbinHeilongjiangChina Department o. Neuro.urgery Liaocheng People's HospitalLiaocheng CityShandongChina Department o. Neuro.urgery Jining First People's HospitalJiningShandongChina Department o. Neuro.o.y Fujian Provincial HospitalFuzhouFujianChina Department o. Neuro.o.y 306 Hospital of People's Liberation ArmyBeijingChina Department o. Neuro.urgery Tianjin Huanhu HospitalTianjinTianjinChina Department o. Neuro.urgery Jilin University First HospitalChangchunJilinChina Department o. Neuro.o.y Affiliated Hospital of Guiyang Medical CollegeGuiyangGuizhouChina Department o. Neuro.urgery Fourth Affiliated Hospital of Harbin Medical UniversityHarbinHeilongjiangChina Department o. Neuro.urgery Peking University First HospitalBeijingBeijingChina Department o. Neuro.o.y Liaocheng Second People's HospitalLiaochengChina Department o. Neuro.o.y Shanghai Tenth People's HospitalShanghaiChina Department o. Neuro.urgery Tianjin Medical University General HospitalTianjinTianjin

Intro.uctio. The safety o.tco.es o. endo.ascular therapy fo. intracranial artery steno.is in a real-wo.ld stetting are largely *** Clinical Registratio. Trial o. Intracranial Stenting fo. Patients with Sympto.atic Intracranial Artery Steno.is(CRTICAS)was a pro.pective,multicentre,real-wo.ld registry designed to.assess these o.tco.es and the impact o. centre *** 1140 severe,sympto.atic intracranial arterial steno.is(ICAS)patients treated with endo.ascular therapy were included fro. 26 centres,further divided into.three gro.ps acco.ding to.the annual centre vo.ume o. intracranial angio.lasty and stent placement pro.edures o.er 2 years:(1)high vo.ume fo.≥25 cases/year;(2)mo.erate vo.ume fo. 10–25 cases/year and(3)lo. vo.ume fo.o. 30-day stro.e,transient ischaemic attack o. death was 9.7%(111),with 5.4%,21.1%and 9.7%in high-vo.ume,mo.erate-vo.ume and lo.-vo.ume centres,respectively(po.istic regressio. co.firmed high-vo.ume centres had a significantly lo.er primary endpo.nt co.pared with mo.erate-vo.ume centres(o.=0.187,95%CI:0.056 to.0.627;p≤0.0001),while mo.erate-vo.ume and lo.-vo.ume centres sho.ed no.significant difference(p=0.8456).Co.clusio. Co.pared with the preceding rando.ised co.tro.led trials,this real-wo.ld,pro.pective,multicentre registry sho.s a lo.er co.plicatio. rate o. endo.ascular treatment fo. sympto.atic ***-unifo.m utilisatio. in endo.ascular techno.o.y,institutio.al experience and patient selectio. in different vo.umes o. centres may have an impact o. o.erall safety o. this treatment.

关键词： intracranial pro.pective steno.is

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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 Grego.y W. Albers Jo.eph P. Bro.erick Andrew M. Demchuk Jo.hen B. Fiebach Jens Fiehler James C. Gro.ta Gary Ho.ser Tudo. G. Jo.in Kennedy R. Lees Michael H. Lev David S. Liebeskind Marie Luby Keith W. Muir Mark W. Parso.s Rudiger vo. Kummer Jo.nna M. Wardlaw o.a Wu Albert J. Yo. Andrei V. Alexandro. Jeffry R. Alger Richard I. Aviv Ro.and Bammer Jean-Claude Baro. Fernando.Calamante Bruce C.V. Campbell Trevo. C. Carpenter Sφren Christensen William A. Co.en Co.in P. Derdeyn E. Clarke Haley Jr Po.ja Khatri Ko.suke Kudo.Maarten G. Lansberg Lawrence L. Lato.r Ting-Yim Lee Richard Leigh Weili Lin Patrick Lyden Grant Mair Bijo. IC Meno. Patrik Michel Ro.ert Mikulik Raul G. No.ueira Left φstergaard Salvado. Pedraza Christian H. Riedel Ho.ard A. Ro.ley Pina C. Sanelli Mako.o.Sasaki Jeffrey L. Saver Pamela W. Schaefer Peter D. Schellinger Geo.gio. Tsivgo.lis Lawrence R. Wechsler Philip M. White Greg Zaharchuk osama o. zaidat Stephen M. Davis Geo.frey A. Do.nan Antho.y J. Furlan Werner Hacke Do.g-Wha Kang Chelsea Kidw ell Vincent N. Thijs Go.z Tho.alla 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（Stro.eImagingResearchGro.p，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...

卒中影像学研究组（Stro.eImagingResearchGro.p，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.e Treatment Academy Industry Ro.ndtable，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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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 Tudo. Jo.in Vallabh Janardhan 段振晖胡挺朱武生 Fro.e the Texas Stro.e Institute HCA North Texas DivisionDallas-Fort Worth Tex. Mercy Neuro.eience and Stro.e Center Toledo Ohio Jackso.Memo.ial Ho.pital University of Miami Health System Miami Fla. Detro.t Medical Center Wayne State UniversityDetroit Mich. UPMC Stro.e 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（So.iety o. Vascular and Interventio.al Neuro.o.y, 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（Stro.e Interventio.al Labo.ato.y Co.sensus, 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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Decline in subarachno.d haemo.rhage vo.umes asso.iated with the first wave o. the Co.ID- 19 pandemic

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Stro.e & Vascular Neuro.o.y 2021年第4期6卷 542-552,I0026-I0032页

作者： Thanh N Nguyen Dio.o.C Haussen Muhammad M Qureshi Hiro.hi Yamagami To.hiyuki Fujinaka o.sama Y Manso.r Mo.amad Abdalkader Michael Frankel Zho.gming Qiu Allan Taylo. Pedro.Lylyk o.er F Eker Laura Mechto.ff Michel Pio.in Fabricio.o.iveira Lima Francisco.Mo.t'Alverne Wazim Izzath No.uyuki Sakai Mahmo.d Mo.ammaden Alhamza R Al-Bayati Leo.ardo.Renieri Salvato.e Mangiafico.David o.retic Vanessa Chalumeau Saima Ahmad Umair Rashid Syed Irteza Hussain Seby Jo.n Emma Griffin Jo.n Tho.nto. Jo.e Anto.io.Fio.o. Ro.rigo.Rivera Nadia Hammami Anna M Cervantes-Arslanian Ho.muzdiyar H Dasenbro.k Huynh Le Vu Viet Quy Nguyen Steven Hetts Ro.ain Bo.rcier Ro.ain Guile Melanie Walker Malveeka Sharma Do. Frei Pascal Jabbo.r Nabeel Herial Fawaz Al-Mufti Atilla o.can o.demir o.lem Aykac Dheeraj Gandhi Chandril Chugh Charles Mato.k Pascale Lavo.e Randall Edgell Andre Beer-Furlan Michael Chen Mo.ika Killer-o.erpfalzer Vito. Mendes Pereira Patrick Nicho.so. Vikram Huded No.uyuki o.ara Daisuke Watanabe Do.g Hun Shin Pedro.SC Magalhaes Raghid Kikano.Santiago.o.tega-Gutierrez Mudassir Faro.qui Amal Abo.-Hamden Tatsuo.Amano.Ryo. Yamamo.o.Adrienne Weeks Elena A Co.a Ro.em Sivan-Ho.fmann Ro.erto.Cro.a Markus Möhlenbruch Simo. Nagel Ho.am Al-Jehani Sunil A Sheth Victo. S Lo.ez Rivera James E Siegler Achmad Fidaus Sani Ajit S Puri Anna Luisa Kuhn Gianmarco.Bernava Pao.o.Machi Daniel G Abud o.tavio.M Po.tes-Neto.Ajay K Wakhlo. Barbara Vo.tsch Eytan Raz Shadi Yaghi Brijesh P Mehta Nao.o.Kimura Mamo.u Murakami Jin So. Lee Ji Man Ho.g Ro.ert Fahed Grego.y Walker Eiji Hagashi Steve M Co.dina Ho.g Gee Ro. Ken Wo.g Juan F Arenillas Mario.Martinez-Galdamez Jo.di Blasco.Alejandro.Ro.riguez Vasquez Luisa Fo.seca M Luis Silva Teddy Y Wu Simo. Jo.n Alex Brehm Mario. Psycho.io. William J Mack Matthew Tenser Tatemi To.aka Miki Fujimura Ro.erta No.ako.ic Jun Deguchi Yuri Sugiura Hiro.hi To.imura Rakesh Khatri Michael Kelly Lissa Peeling Yuichi Murayama Hugh Stephen Winters Jo.nny Wo.g Mo.amed Teleb Jeremy Payne Hiro.i Fukuda Ko.uke Miyake Junsuke Shimbo.Yusuke Sug Neuro.o.y RadiologyBoston Medical CenterBostonMassachusettsUSA Neuro.o.y Marcus Stroke&Neuroscience CenterGrady Memorial HospitalEmory University School of MedicineAtlantaGAUSA Radio.o.y Radiation OncologyBoston University School of MedicineBostonMassachusettsUSA Neuro.o.y National Hospital Organization Osaka National HospitalOsakaJapan Neuro.urgery National Hospital Organization Osaka National HospitalOsakaJapan Neuro.o.y Alexandria UniversityAlexandriaEgypt Radio.o.y Boston Medical CenterBostonMassachusettsUSA Department o. Neuro.o.y Xinqiao HospitalChongqingChina Neuro.urgery University of Cape TownRondeboschWestern CapeSouth Africa Neuro.urgery Interventional NeuroradiologyClinica La Sagrada FamiliaBuenos AiresArgentina Neuro.adio.o.ie Neurologie VasculaireHospices Civils de LyonLyonAuvergne-Rhône AlpesFrance Neuro.o.ie Vasculaire Hospices Civils de LyonLyonAuvergne-Rhône AlpesFrance Interventio.al Neuro.adio.o.y Fondation Ophtalmologique Adolphe de RothschildParisÎle-de FranceFrance Neuro.o.y Hospital Geral de FortalezaFortalezaBrazil Interventio.al Neuro.adio.o.y Hospital Geral de FortalezaFortalezaBrazil Neuro.adio.o.y Nottingham University Hospitals NHS TrustNottinghamUK Department o. Neuro.urgery Kobe City Medical Center General HospitalKobeHyogoJapan Interventio.al Neuro.ascular Unit University Hospital CareggiFirenzeToscanaItaly Neuro.adio.o.y University Hospital Centre ZagrebZagrebCroatia Interventio.al Neuro.adio.o.y Hopital BicetreLe Kremlin-BicetreFrance Stro.e and Interventio.al Neuro.adio.o.y Lahore General HospitalLahorePakistan Neuro.o.ical Institute Cleveland Clinic Abu DhabiAbu DhabiUAE Department o. Radio.o.y Beaumont HospitalDublinIreland Neuro.o.y Stroke UnitHospital-Estadual CentralVitoriaBrazil Neuro.adio.o.y Instituto de Neurocirugia Dr AsengoSantiagoChile Interventio.al Neuro.adio.o.y Institut National de NeurologieTunisTunisia Neuro.o.y Boston Medical CenterBostonMassachusettsUSA Neuro.urgery Boston Medical Center

Backgro.nd During the Co.ID-19 pandemic,decreased vo.umes o. stro.e admissio.s and mechanical thro.becto.y were *** study’s o.jective was to.examine whether subarachno.d haemo.rhage(SAH)ho.pitalisatio.s and ruptured aneurysm co.ling interventio.s demo.strated similar *** We co.ducted a cro.s-sectio.al,retro.pective,o.servatio.al study acro.s 6 co.tinents,37 co.ntries and 140 co.prehensive stro.e *** with the diagno.is o. SAH,aneurysmal SAH,ruptured aneurysm co.ling interventio.s and Co.ID-19 were identified by pro.pective aneurysm databases o. by Internatio.al Classificatio. o. Diseases,10th Revisio.,*** 3-mo.th cumulative vo.ume,mo.thly vo.umes fo. SAH ho.pitalisatio.s and ruptured aneurysm co.ling pro.edures were co.pared fo. the perio. befo.e(1 year and immediately befo.e)and during the pandemic,defined as 1 March-31 May *** prio. 1-year co.tro. perio.(1 March-31 May 2019)was o.tained to.acco.nt fo. seaso.al *** There was a significant decline in SAH ho.pitalisatio.s,with 2044 admissio.s in the 3 mo.ths immediately befo.e and 1585 admissio.s during the pandemic,representing a relative decline o. 22.5%(95%CI−24.3%to.20.7%,po.isatio. o. ruptured aneurysms declined with 1170-1035 pro.edures,respectively,representing an 11.5%(95%CI−13.5%to.9.8%,p=0.002)relative *** analysis was no.ed fo. aneurysmal SAH ho.pitalisatio. decline fro. 834 to.626 ho.pitalisatio.s,a 24.9%relative decline(95%CI−28.0%to.22.1%,po.ling was no.ed in lo. co.ling vo.ume ho.pitals o. 41.1%(95%CI 32.3%to.50.6%,p=0.008)despite a decrease in SAH admissio.s in this *** There was a relative decrease in the vo.ume o. SAH ho.pitalisatio.s,aneurysmal SAH ho.pitalisatio.s and ruptured aneurysm embo.isatio.s during the Co.ID-19 *** findings in SAH are co.sistent with a decrease in o.her emergencies,such as stro.e and myo.ardial infarctio..

关键词： diagno.is representing subarachno.d

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