Research Progress of Anticoagulation Therapy during Perioperative Period for Endovascular Treatment of Acute Ischemic Stroke
The safety and efficacy of anticoagulation therapy in the perioperative period of endovascular treatment(EVT)in patients with acute ischemic stroke(AIS)are still not well defined.Current studies suggest that the use of anticoagulant drug before EVT does not increase the risk of hemorrhage or poor prognosis in AIS patients.Although anticoagulation therapy during EVT does not significantly increase the efficiency of vascular recanalization,it may have a positive effect on improving the long-term prognosis of patients.In addition,anticoagulation therapy after EVT can prevent the occurrence of intracranial arterial reocclusion while potentially improving cerebral microcirculation.Therefore,the possibility of early initiation of anticoagulation therapy in AIS patients with atrial fibrillation who have a clearer indication for anticoagulation warrants further study.More clinical studies should be conducted to further evaluate the safety and efficacy of anticoagulation therapy during perioperative period of EVT in AIS patients.
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