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首页> 外文期刊>Journal of stroke and cerebrovascular diseases: The official journal of National Stroke Association >Is Management of Central Retinal Artery Occlusion the Next Frontier in Cerebrovascular Diseases?
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Is Management of Central Retinal Artery Occlusion the Next Frontier in Cerebrovascular Diseases?

机译：是中央视网膜动脉闭塞的管理是脑血管疾病的下一个前沿吗？

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摘要

Central retinal artery occlusion (CRAO) is a medical emergency that, if not treated, may result in irreversible loss of vision. It continues to be an important cause for acute painless loss of vision. Amaurosis fugax or “transient CRAO” has long been considered an equivalent of transient cerebral ischemic event. Animal models, in addition to data from retrospective and randomized clinical studies, provide valuable insights into the time interval for irreversible retinal ischemia. Subset analyses from 2 large studies of patients with CRAO show benefit from treatment with thrombolysis within 6 hours from symptoms onset. Significant workflow improvements after the intra-arterial therapy trials for acute ischemic stroke have occurred world over in last 5 years.Patients with CRAO are uniquely suited to receive maximum benefits from the changes in workflow for treatment of patient's acute ischemic stroke. Just as in clinical triage of acute ischemic stroke, correct and timely diagnosis of patients with CRAO may help in preventing visual loss. The approach to acute ocular ischemia should mimic that used for acute brain ischemia. Comprehensive stroke centers would be ideal triage centers for these patients in view of availability of multidisciplinary participation from vascular neurology, neuroendovascular surgery, and ophthalmology.Time is Retina!
机译：中央视网膜动脉闭塞（Crao）是一种医疗紧急情况，如果未治疗，可能导致视力不可逆转的丧失。它仍然是急性无痛丧失视力丧失的重要原因。 Amaursis Fugax或“瞬态克劳”已长期被认为是瞬态脑缺血事件。除了从回顾性和随机临床研究的数据外，动物模型还为不可逆视网膜缺血的时间间隔提供有价值的见解。来自克罗患者的2次大型研究的子集分析从症状发作后6小时内与溶栓治疗有益。急性缺血性卒中的动脉内治疗试验后的显着工作流程改善了过去5年的世界。与克劳的患病人有独特的患者，从工作流程的变化中获得最大的益处，以治疗患者的急性缺血性脑卒中。正如急性缺血性卒中的临床三十，正确和及时诊断患者患者可能有助于防止视觉损失。急性眼缺血的方法应该模拟用于急性脑缺血。综合中风中心是针对这些患者的理想分类中心，鉴于来自血管神经病学，神经血管外科和眼科的多学科参与的可用性.Time是Retina！

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