Neurol. pro Praxi, 2006; 6: 313-314

Možnosti mechanické rekanalizace mozkové tepny

MUDr. David Školoudík1, doc. MUDr. Roman Herzig, Ph.D.2, MUDr. Robert Mikulík3
1 Neurologická klinika FNsP Ostrava-Poruba
2 Neurologická klinika FN a LF UP Olomouc
3 I. neurologická klinika LF MU a FN u sv. Anny Brno

Okluze mozkové tepny je nejčastější příčinou mozkového infarktu. Reperfúze mozku je u těchto pacientů nejúčinnější známou terapií. Po zavedení systémové trombolýzy do běžné lékařské praxe se mimo dalších farmakologických metod začínají testovat také mechanické metody rekanalizace mozkové tepny. Autoři v článku podávají souhrnný pohled jednotlivých metod jako je použití Merci retrieveru, jiných typů endovaskulárních katetrů, katetrů s laserem či ultrazvukem, primární intrakraniální angioplastiky, sonotrombolýzy a akutní desobliterace karotidy. Metody mechanické rekanalizace mozkové tepny jsou nadějnou možností terapie mozkového infarktu. Avšak výzkum je v současnosti u většiny těchto metod v 1. nebo 2. fázi klinického testování. Přes optimistické výsledky v úspěšnosti rekanalizace tepny, je nutné na potvrzení prospěchu pro pacienty vyčkat výsledků z velkých randomizovaných studií.

Keywords: mozkový infarkt, reperfúze, mechanická rekanalizace, ultrazvuk

Published: February 1, 2007  Show citation

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Školoudík D, Herzig R, Mikulík R. Možnosti mechanické rekanalizace mozkové tepny. Neurol. praxi. 2006;7(6):313-314.
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