Current role of mechanical thrombectomy in the treatment of acute ischemic stroke

被引：0
作者：
Krecek, Jan [1 ,2 ]
Koznar, Boris [1 ,2 ]
Sulzenko, Jakub [1 ,2 ]
Stelmach, Zdenko [1 ,2 ]
Widimsky, Petr [1 ,2 ]
Stetkarova, Ivana [2 ,3 ]
Peisker, Tomas [2 ,3 ]
Vasko, Peter [2 ,3 ]
Mikulenka, Petr [2 ,3 ]
Lauer, David [2 ,3 ]
Kucera, Dusan [1 ,2 ]
机构：
[1] Univ Karlovy, Kardiol Klin, Lekarska Fak 3, Srobarova 1150-50, Prague 10, Czech Republic
[2] Fak Nemocnice Kralovske Vinohrady, Srobarova 1150-50, Prague 10, Czech Republic
[3] Univ Karlovy, Neurol Klin, Lekarska Fak 3, Prague, Czech Republic
来源：
COR ET VASA | 2023年 / 65卷 / 03期
关键词：
Acute ischemic stroke; Direct aspiration; Mechanical thrombectomy; Stent-retriever; Systemic thrombolysis; STENT-RETRIEVER THROMBECTOMY; ACUTE CEREBRAL INFARCTION; ENDOVASCULAR TREATMENT; HEMORRHAGIC TRANSFORMATION; INTRAVENOUS ALTEPLASE; CONTACT ASPIRATION; RANDOMIZED-TRIAL; MATRIX-METALLOPROTEINASE; BLOOD-PRESSURE; IV TPA;
D O I：
10.33678/cor.2022.105
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Ischemic stroke is a severe condition with a high mortality and a serious risk of permanent functional dis-ability. The treatment of acute ischemic stroke has undergone a number of major changes in recent years - from systemic thrombolysis to the wide range of current mechanical thrombectomy modalities. Studies such as MR CLEAN, ESCAPE, EXTEND-IA, SWIFT PRIME and others have demonstrated improved outcomes in patients with large vessel occlusion when mechanical thrombectomy was used compared with best medical treatment including systemic thrombolysis. These results have completely changed the treatment paradigm. Currently, a wide variety of endovascular tools are available for mechanical thrombectomy and new ones are still under development. This paper aims to summarize the current options for the treatment of ischemic stroke by mechanical thrombectomy and to outline other therapy aspects of this disease.
引用
收藏
页码：514 / 524
页数：11
相关论文
共 77 条
  • [1] Bed rest: a potentially harmful treatment needing more careful evaluation
    Allen, C
    Glasziou, P
    Del Mar, C
    [J]. LANCET, 1999, 354 (9186) : 1229 - 1233
  • [2] Ankolekar S, 2013, CRIT CARE STROKE PAT, V311, P243
  • [3] Validity and reliability of a quantitative computed tomography score in predicting outcome of hyperacute stroke before thrombolytic therapy
    Barber, PA
    Demchuk, AM
    Zhang, JJ
    Buchan, AM
    [J]. LANCET, 2000, 355 (9216) : 1670 - 1674
  • [4] Hemorrhagic transformation of ischemic brain tissue -: Asymptomatic or symptomatic?
    Berger, C
    Fiorelli, M
    Steiner, T
    Schäbitz, WR
    Bozzao, L
    Bluhmki, E
    Hacke, W
    von Kummer, R
    [J]. STROKE, 2001, 32 (06) : 1330 - 1335
  • [5] A Randomized Trial of Intraarterial Treatment for Acute Ischemic Stroke
    Berkhemer, O. A.
    Fransen, P. S. S.
    Beumer, D.
    van den Berg, L. A.
    Lingsma, H. F.
    Yoo, A. J.
    Schonewille, W. J.
    Vos, J. A.
    Nederkoorn, P. J.
    Wermer, M. J. H.
    van Walderveen, M. A. A.
    Staals, J.
    Hofmeijer, J.
    van Oostayen, J. A.
    Nijeholt, G. J. Lycklama A.
    Boiten, J.
    Brouwer, P. A.
    Emmer, B. J.
    de Bruijn, S. F.
    van Dijk, L. C.
    Kappelle, L. J.
    Lo, R. H.
    Van Dijk, E. J.
    de Vries, J.
    de Kort, P. L. M.
    van Rooij, W. J. J.
    van den Berg, J. S. P.
    van Hasselt, B. A. A. M.
    Aerden, L. A. M.
    Dallinga, R. J.
    Visser, M. C.
    Bot, J. C. J.
    Vroomen, P. C.
    Eshghi, O.
    Schreuder, T. H. C. M. L.
    Heijboer, R. J. J.
    Keizer, K.
    Tielbeek, A. V.
    den Hertog, H. M.
    Gerrits, D. G.
    van den Berg-Vos, R. M.
    Karas, G. B.
    Steyerberg, E. W.
    Flach, H. Z.
    Marquering, H. A.
    Sprengers, M. E. S.
    Jenniskens, S. F. M.
    Beenen, L. F. M.
    van den Berg, R.
    Koudstaal, P. J.
    [J]. NEW ENGLAND JOURNAL OF MEDICINE, 2015, 372 (01) : 11 - 20
  • [6] Mechanical thrombolysis in acute ischemic stroke with endovascular photoacoustic recanalization
    Berlis, A
    Lutsep, H
    Barnwell, S
    Norbash, A
    Wechsler, L
    Jungreis, CA
    Woolfenden, A
    Redekop, G
    Hartmann, M
    Schumacher, M
    [J]. STROKE, 2004, 35 (05) : 1112 - 1116
  • [7] Efficacy and safety of very early mobilisation within 24 h of stroke onset (AVERT): a randomised controlled trial
    Bernhardt, Julie
    Langhorne, Peter
    Lindley, Richard I.
    Thrift, Amanda G.
    Ellery, Fiona
    Collier, Janice
    Churilov, Leonid
    Moodie, Marjory
    Dewey, Helen
    Donnan, Geoffrey
    [J]. LANCET, 2015, 386 (9988) : 46 - 55
  • [8] Importance of Occlusion Site for Thrombectomy Technique in Stroke Comparison Between Aspiration and Stent Retriever
    Bernsen, Marie Louise E.
    Goldhoorn, Robert-Jan B.
    Lingsma, Hester F.
    van Oostenbrugge, Robert J.
    van Zwam, Wim H.
    Uyttenboogaart, Maarten
    Roos, Yvo B. W. E. M.
    Martens, Jasper M.
    Hofmeijer, Jeannette
    Dippel, Diederik W. J.
    van der Lugt, Aad
    Majoie, Charles B. L. M.
    [J]. STROKE, 2021, 52 (01) : 80 - 90
  • [9] Equal performance of aspiration and stent retriever thrombectomy in daily stroke treatment
    Bernsen, Marie Louise Elisabeth
    Goldhoorn, Robert-Jan Berend
    van Oostenbrugge, Robert J.
    van Zwam, Wim H.
    Uyttenboogaart, Maarten
    Roos, Yvo B. W. E. M.
    Hofmeijer, Jeannette
    Martens, Jasper M.
    [J]. JOURNAL OF NEUROINTERVENTIONAL SURGERY, 2019, 11 (07) : 631 - +
  • [10] Direct to angiography suite approaches for the triage of suspected acute stroke patients: a systematic review and meta-analysis
    Brehm, Alex
    Tsogkas, Ioannis
    Ospel, Johanna M.
    Appenzeller-Herzog, Christian
    Aoki, Junya
    Kimura, Kazumi
    Pfaff, Johannes A. R.
    Moehlenbruch, Markus A.
    Requena, Manuel
    Ribo, Marc J.
    Sarraj, Amrou
    Spiotta, Alejandro M.
    Sporns, Peter
    Psychogios, Marios-Nikos
    [J]. THERAPEUTIC ADVANCES IN NEUROLOGICAL DISORDERS, 2022, 15
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