علاج السكتة الدماغية الإقفارية الحادة المنسوبة إلى تشريح الشريان الفقري العنقي

References

In patients with acute ischemic stroke attributable to cervical artery dissection, acute treatment strategies such as thrombolysis and mechanical thrombectomy are reasonable in otherwise eligible patients.

It is reasonable to perform mechanical thrombectomy in otherwise eligible patients with a large-vessel occlusion in the setting of cervical artery dissection.

The need for emergent mechanical thrombectomy in patients with cervical artery dissection is based on existing criteria for thrombectomy in patients with acute large-vessel occlusion.

A meta-analysis comparing patients with cervical artery dissection and concurrent acute ischemic stroke found that mechanical thrombectomy increased favorable functional outcomes (modified Rankin Scale score, 0–2 at 90 days) compared with medical management (62.9% versus 41.5%; P=0.006), with no difference in symptomatic ICH or mortality.