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中华脑血管病杂志(电子版) ›› 2026, Vol. 20 ›› Issue (01) : 96 -100. doi: 10.3877/cma.j.issn.1673-9248.2026.01.014

综述

超24 h急性缺血性脑卒中患者血管内取栓治疗的研究进展
黄秋慧1, 邓旭辉2, 黄华1, 梁志坚1,()   
  1. 1 530021 广西 南宁,广西医科大学第一附属医院神经内科
    2 512025 广东 韶关,汕头大学医学院附属粤北人民医院神经内科
  • 收稿日期:2025-09-05 出版日期:2026-02-01
  • 通信作者: 梁志坚
  • 基金资助:
    中南地区(广西)慢病防控科技综合示范研究(2018YFC1311305)

Research progress of endovascular thrombectomy in acute ischemic stroke patients beyond 24 hours

Qiuhui Huang1, Xuhui Deng2, Hua Huang1, Zhijian Liang1,()   

  1. 1 Department of Neurology, the First Affiliated Hospital of Guangxi Medical University, Nanning 530021, China
    2 Department of Neurology, North Guangdong People's Hospital, Shantou University Medical School, Shaoguan 512025, China
  • Received:2025-09-05 Published:2026-02-01
  • Corresponding author: Zhijian Liang
引用本文:

黄秋慧, 邓旭辉, 黄华, 梁志坚. 超24 h急性缺血性脑卒中患者血管内取栓治疗的研究进展[J/OL]. 中华脑血管病杂志(电子版), 2026, 20(01): 96-100.

Qiuhui Huang, Xuhui Deng, Hua Huang, Zhijian Liang. Research progress of endovascular thrombectomy in acute ischemic stroke patients beyond 24 hours[J/OL]. Chinese Journal of Cerebrovascular Diseases(Electronic Edition), 2026, 20(01): 96-100.

近年来,血管内取栓已成为治疗急性大血管闭塞所致急性缺血性脑卒中的重要方法。研究证实,在符合特定影像学条件的24 h内对急性缺血性脑卒中患者行血管内取栓是安全有效的。然而,血管内取栓在超24 h进展性急性缺血性脑卒中患者治疗中是否安全有效尚不明确。因此,本文对超24 h进展性急性缺血性脑卒中患者血管内取栓治疗的影像学筛选标准,以及其再通率、预后、症状性脑出血风险等研究进展作简要综述。

In recent years, endovascular thrombectomy (EVT) has emerged as a pivotal treatment for acute ischemic stroke (AIS) caused by acute large vessel occlusion. Studies have confirmed that EVT is safe and effective for AIS patients within 24 hours of onset, provided they meet specific imaging criteria. However, the safety and efficacy of EVT for patients beyond the 24-hour window remain to be fully elucidated. This article provides a comprehensive review of recent research progress concerning imaging screening criteria, recanalization rates, clinical prognosis, and the risk of symptomatic intracranial hemorrhage (sICH) in AIS patients treated with EVT beyond 24 hours.

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