Journal of the Korean Society of Radiology (대한영상의학회지)

The Korean Society of Radiology (대한영상의학회)
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Endovascular Treatment of Acute Ischemic Stroke

급성 허혈성 뇌졸중의 혈관 내 치료

  • Jun Hwee Kim (Department of Radiology, Yongin Severance Hospital, Yonsei University College of Medicine) ;
  • Byung Moon Kim (Department of Radiology, Severance Hospital, Yonsei University College of Medicine)
  • 김준휘 (연세대학교 의과대학 용인세브란스병원 영상의학과) ;
  • 김병문 (연세대학교 의과대학 세브란스병원 영상의학과)
  • Received : 2020.04.19
  • Accepted : 2020.05.16
  • Published : 2020.05.01
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Abstract

Acute ischemic stroke is one of the leading causes of disability and death around the world, especially in developed countries. Since the introduction of the 2nd generation devices, endovascular treatment of acute ischemic stroke has rapidly developed and is now considered to be a standard treatment. Here, we summarize the results of recent randomized clinical trials that have compared endovascular thrombectomy with conventional treatment for acute stroke and review the indications, current devices, and endovascular thrombectomy methods used.

급성 허혈성 뇌졸중은 심각한 후유증이나 사망에 이르는 가장 큰 원인 질환들 중 하나이다. 제2세대 혈전제거기구가 도입된 이후로 급성 허혈성 뇌졸중에서 혈관 내 재개통 치료는 급속히 발전해 왔고, 최근에는 표준 치료 중의 하나가 되었다. 이 종설에서는 급성 허혈성 뇌졸중에서 혈관 내 치료와 고식적인 치료를 무작위 배정으로 비교한 임상 연구들의 결과를 간략히 기술하고, 새로이 개정된 급성 허혈성 뇌졸중에서의 혈관 내 치료의 적응증과, 현재 혈관내 치료에 쓰이는 기구들과 방법에 대해 알아보고자 한다.

Keywords

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