Endovascular thrombectomy of medium vessel occlusions

被引:0
作者
Fries, Frederik [1 ]
机构
[1] Univ Klinikum Saarlandes, Klin Diagnost & Interventionelle Neuroradiol, Kirrberger Str, D-66421 Homburg, Saar, Germany
来源
RADIOLOGIE | 2025年 / 65卷 / 02期
关键词
Ischemic stroke; Thromboembolic events; Endovascular therapy; Stent retriever; Patient selection; ACUTE ISCHEMIC-STROKE; HEMORRHAGE;
D O I
10.1007/s00117-024-01402-0
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
Background: Acute ischemic stroke is a leading cause of disability and dependency in daily life. While endovascular therapy has become the standard treatment for large vessel occlusions, its benefit for medium vessel occlusions has not yet been clearly established. Objective: This article provides an overview of the current evidence, epidemiology, and clinical challenges of thrombectomy in distal medium vessel occlusions (DMVOs).
引用
收藏
页码:110 / 114
页数:5
相关论文
共 20 条
  • [1] An H., Zhao W., Wang J., Et al., Contrast Staining may be Associated with Intracerebral Hemorrhage but Not Functional Outcome in Acute Ischemic Stroke Patients Treated with Endovascular Thrombectomy, Aging Dis, 10, (2019)
  • [2] Bendszus M., Fiehler J., Subtil F., Et al., Endovascular thrombectomy for acute ischaemic stroke with established large infarct: multicentre, open-label, randomised trial, Lancet, 402, pp. 1753-1763, (2023)
  • [3] Clarencon F., Durand-Zaleski I., Premat K., Et al., Evaluation of mechanical thrombectomy in acute ischemic stroke related to a distal arterial occlusion: A randomized controlled trial, Int J Stroke, 19, pp. 367-372, (2024)
  • [4] Duloquin G., Graber M., Garnier L., Et al., Incidence of Acute Ischemic Stroke With Visible Arterial Occlusion: A Population-Based Study (Dijon Stroke Registry), Stroke, 51, pp. 2122-2130, (2020)
  • [5] Fiorella D., Gupta R., Chapot R., Saver J., O-020 The tigertriever 13 distals study: distal ischemic stroke treatment with adjustable low-profile stentriever, SNIS 19th Annu. Meet. Oral Abstr, (2022)
  • [6] Huo X., Ma G., Tong X., Et al., Trial of Endovascular Therapy for Acute Ischemic Stroke with Large Infarct, N Engl J Med, 388, pp. 1272-1283, (2023)
  • [7] Marios-Nikos P., Alex B., Jens F., Et al., EnDovascular Therapy Plus Best Medical Treatment (BMT) Versus BMT Alone for MedIum distal VeSsel Occlusion sTroke (DISTAL): An international, multicentre, randomized-controlled, two-arm, assessor-blinded trial, Eur Stroke J, (2024)
  • [8] Menon B.K., Al-Ajlan F.S., Najm M., Et al., Association of Clinical, Imaging, and Thrombus Characteristics With Recanalization of Visible Intracranial Occlusion in Patients With Acute Ischemic Stroke, JAMA, 320, (2018)
  • [9] Nogueira R.G., Doheim M.F., Al-Bayati A.R., Et al., Distal Medium Vessel Occlusion Strokes: Understanding the Present and Paving the Way for a Better Future, J Stroke, 26, pp. 190-202, (2024)
  • [10] Ospel J.M., Dowlatshahi D., Demchuk A., Et al., Endovascular treatment to improve outcomes for medium vessel occlusions: The ESCAPE-MeVO trial, Int J Stroke, 19, pp. 1064-1070, (2024)