儿童及青年大血管闭塞性急性缺血性卒中患者血管内治疗研究进展OA
Research progress on endovascular treatment for acute ischemic stroke caused by large vessel occlusion in children and young adults
近年来,儿童及青年急性缺血性卒中发病率呈上升趋势,其病因复杂,致残、致死率高,疾病负担重.血管内治疗在大血管闭塞性急性缺血性卒中患者中具有重要临床应用价值,多项研究显示,儿童及青年大血管闭塞性急性缺血性卒中患者行血管内治疗的血管成功再通率高,且与老年患者相比预后可能更佳.该文对儿童及青年大血管闭塞性急性缺血性卒中的病因及病理特点、血管内治疗现状和预后影响因素的研究进展进行了归纳总结.
In recent years,the incidence of acute ischemic stroke(AIS)among children and young adults has increased significantly.This condition is characterized by complex etiologies,high disability and mortality rates,and a high burden of disease.Endovascular treatment(EVT)has demonstrated remarkable clinical value in treating AIS with large vessel occlusion(AIS-LVO).Multiple studies indicated that EVT can significantly enhance outcomes of AIS-LVO and achieve high recanalization rates in children and young adults,and could potentially lead to a better prognosis compared to elderly patients.This article reviews the research progress on the etiology,pathological characteristics,current EVT status,and key influencing factors of prognosis in AIS-LVO in children and young adults.
黄芷琳;张小波;聂晓燕;钟真真
415000 中南大学湘雅医学院附属常德医院(常德市第一人民医院)神经内科415000 中南大学湘雅医学院附属常德医院(常德市第一人民医院)神经内科415000 中南大学湘雅医学院附属常德医院(常德市第一人民医院)神经内科415000 中南大学湘雅医学院附属常德医院(常德市第一人民医院)神经内科
儿童青年急性缺血性卒中大血管闭塞血管内治疗综述
ChildYoung adultsAcute ischemic strokeLarge vessel occlusionEndovascular treatmentReview
《中国脑血管病杂志》 2026 (1)
59-66,8
湖南省自然科学基金项目(2024JJ7008)国家临床重点专科重大科研专项(Z2023112)常德市科技创新指导性项目(2025ZD34)
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