中国急性缺血性卒中早期血管内介入诊疗指南2022

中华神经科杂志2022年6月第55卷第6期Chin J Neurol,June2022.Val.55,No.6·565·指南·中国急性缺血性卒中早期血管内介入诊疗指南2022中华医学会神经病学分会中华医学会神经病学分会脑血管病学组中华医学会神经病学分会神经血管介入协作组通信作者：刘新峰，东部战区总医院神经内科，南京210002，Email::xfliu22@vip.163.com彭斌，中国医学科学院北京协和医院神经科，北京100730，Email:pengbin.3@hotmail.c0m;王拥军，首都医科大学附属北京天坛医院神经内科国家神经系统疾病临床医学研究中心，北京100070，Email:yongjunwangl9962@gmail.com【摘要】中华医学会神经病学分会及其脑血管病学组和神经血管介入协作组组织相关专家在《中国急性缺血性卒中早期血管内介入诊疗指南2018》的基础上，结合近3年来相关的循证医学证据和我国的临床实际，制订了《中国急性缺血性卒中早期血管内介入诊疗指南2022》。这一指南对急性缺血性卒中早期血管内介入治疗的适应证和禁忌证、流程管理、术前评估、血管内治疗策略、围手术期管理、体系建设和人员培训进行了广泛更新，旨在为临床实践给予规范性指导。【关键词】脑缺血；卒中；机械取栓；溶栓治疗；指南Chinese guidelines for the endovascular treatment of acute ischemic stroke 2022Chinese Society of Neurology,Chinese Stroke Society,Neurovascular Intervention Group of ChineseSociety of NeurologyCorresponding authors:Liu Xinfeng.Department of Neurology,General Hospital of Eastern TheaterCommand,Nanjing 210002,China,Email:xfliu2@vip.163.com;Peng Bin,Department of Neurology,PekingUnion Medical College Hospital,Chinese Academy of Medical Sciences,Beijing 100730,China,Email:pengbin3@hotmail.com:Wang Yongjun,Department of Neurology,Beijing Tiantan Hospital,CapitalMedical University,National Clinical Research Center for Neurological Diseases,Beijing 100070,China,Email:yongjunwang1962@gmail.comAbstract Chinese guidelines for the endovascular treatment of acute ischemic stroke2022 are based on the current available evidence and the realities of clinical practice in China.Theseguidelines supersede the 2018 guidelines.The writing members of the guidelines were appointed bythe Chinese Stroke Society and Neurovascular Intervention Group of Chinese Society of Neurology.This guideline provides an up-to-date comprehensive set of recommendations on the indications andcontraindications of early endovascular treatment,process management,preoperative evaluation,endovascular treatment strategy,perioperative management,system construction and personneltraining.The purpose of the guideline is to achieve standardized guidance for the endovasculartreatment for ischemic stroke.【Key words】Brain ischemia;Stroke;Mechanical thrombectomy;Thrombolytictherapy;GuidelineConflicts of interest:None declared脑血管病是我国居民的第一位死亡原因，并且中国人群的终生卒中患病风险居世界首位。缺D01:10.3760/cma.j.cm113694-20220225-00137收稿日期2022-02-25本文编辑许倩引用本文：中华医学会神经病学分会，中华医学会神经病学分会脑血管病学组，中华医学会神经病学分会神经血管介入协作组.中国急性缺血性卒中早期血管内介入诊疗指南2022[.中华神经科杂志，202255(6)565-580.D01:10.3760/cma-j.cnl13694-20220225-00137.