000 01842nam a2200289 4500
001 ESSALUD
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007 ta
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040 _aBMG
041 _aeng
100 _aOspel, Johanna M.
_954490
245 _aEndovascular therapy for medium-vessel occlusion stroke — Narrowing the target population
300 _apáginas: 1955-1957
520 _aOne way to classify acute ischemic stroke is by the anatomy of vessel occlusion. Initial randomized trials of endovascular thrombectomy focused on large-vessel occlusions. These proximal occlusions of the intracranial carotid artery or the stem of the middle cerebral artery (MCA) represent the most severe form of anterior circulation ischemic stroke. The large clinical benefit from endovascular thrombectomy is consistent with the patent artery hypothesis and reperfusion associated with intravenous thrombolysis. Reperfusion success after endovascular thrombectomy is now routinely achieved in 90% of patients, but early reperfusion, as measured with computed tomographic (CT) angiography at approximately 2 to 4 hours after treatment with intravenous thrombolysis, occurs in only 35 to 40% of patients with large-vessel occlusions and in 50% of those with more-distal medium-vessel occlusions.
650 _aICTUS
_954458
650 _aRADIOLOGÍA GENERAL
_954381
650 _aNEUMOLOGÍA
_925628
650 _aENFERMEDAD ARTERIAL PERIFÉRICA Y AÓRTICA
_954459
650 _aNEUROLOGÍA
650 _aGERIATRÍA
_91852
650 _aMEDICINA DE URGENCIAS
_953820
650 _aCUIDADOS INTENSIVOS
_95208
700 _aHill, Michael D.
_954491
773 0 _022717
_922669
_dMassachusetts NEJM Group
_oNEJM014
_tThe New England Journal of Medicine
_wESSALUD
_x0028-4793
942 _cARTICULOS
_e2026-08-31
_zsqb
999 _c22909
_d22909