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血管取栓临床应用的现状

Oregon Health & Science University Helmi L. Lutsep教授专访

作者:国际循环网   日期:2010/3/29 14:18:00

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Mechanical thrombectomy is increasingly being used for the treatment of large-vessel ischemic stroke in patients who arrive outside of the 3-4.5 hour tissue plasminogen activator time window. Could you give us a brief introduction of the use of mechanical thrombectomy in your country.....

<International Circulation>: Is there an ethical problem with randomizing patients to those arms with lesser therapies in that kind of trial?

Prof. Lutsep: There is still enough of a question without a randomized trial that you can argue that you could still do that. However, it is a real dilemma. Frequently, patients are transferred from far away to our hospital and it is hard to tell them that they are going to receive a lesser treatment.

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