作者
Muhammad Waqas, Cathleen C Kuo, Rimal H Dossani, Andre Monteiro, Ammad A Baig, Modhi Alkhaldi, Justin M Cappuzzo, Elad I Levy, Adnan H Siddiqui
发表日期
2021/7/1
来源
Neurosurgical Focus
卷号
51
期号
1
页码范围
E5
出版商
American Association of Neurological Surgeons
简介
OBJECTIVE
While several studies have compared the feasibility and safety of mechanical thrombectomy (MT) for distal large-vessel occlusion (LVO) strokes in patients, few studies have compared MT with intravenous thrombolysis (IVT) alone. The purpose of this systematic review was to compare the effectiveness and safety between MT and standard medical management with IVT alone for patients with distal LVOs.
METHODS
PubMed, Google Scholar, Embase, Scopus, Web of Science, Ovid Medline, and Cochrane Library were searched in order to identify studies that directly compared MT with IVT for distal LVOs (anterior cerebral artery A 2 , middle cerebral artery M 3–4 , and posterior cerebral artery P 2–4 ). Primary outcomes of interest included a modified Rankin Scale (mRS) score of 0 to 2 at 90 days posttreatment …
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