학술논문

Reperfusion therapy for stroke: From improving global access, to thrombectomy beyond 24 hours.
Document Type
Article
Source
International Journal of Stroke. Mar2024, Vol. 19 Issue 3, p248-250. 3p.
Subject
*CEREBRAL amyloid angiopathy
*STROKE
*THROMBOLYTIC therapy
*THROMBECTOMY
*TRANSIENT ischemic attack
*ISCHEMIC stroke
*REPERFUSION
Language
ISSN
1747-4930
Abstract
The International Journal of Stroke (IJS) aims to address the global burden of stroke and the disparities in stroke risk and provision of stroke services. A recent analysis by the Global Stroke Statistics team found that while intravenous thrombolysis is available in many countries, the availability of endovascular thrombectomy is limited, especially in lower-income countries. Telemedicine has been shown to be a safe and effective strategy for improving access to thrombolysis, and there is evidence suggesting that thrombectomy may have benefits beyond 24 hours after symptom onset. Remote ischemic conditioning (RIC) is another potential treatment for acute stroke, but further large clinical trials are needed to determine its efficacy. Additionally, the article highlights the association between neurosurgical procedures and cerebral amyloid angiopathy (CAA), suggesting a potential "infective" etiology for some cases of CAA. The authors also mention a study that found an increased risk of spontaneous intracerebral hemorrhage (ICH) in individuals who received transfusions from donors who later developed multiple spontaneous ICHs. The article concludes by acknowledging the contributions of reviewers and welcoming new members to the IJS editorial board. [Extracted from the article]