A review of mechanical thrombectomy techniques for acute ischemic stroke

被引：22

作者：

Munoz, Alfredo ^{[1
]}

Jabre, Roland ^{[1
]}

Orenday-Barraza, Jose M. ^{[2
]}

Eldin, Mohamed Shehab ^{[1
]}

Chen, Ching-Jen ^{[1
]}

Al-Saiegh, Fadi ^{[1
]}

Abbas, Rawad ^{[1
]}

El Naamani, Kareem ^{[1
]}

Gooch, Michael Reid ^{[1
]}

Jabbour, Pascal M. ^{[1
]}

Tjoumakaris, Stavropoula ^{[1
]}

Rosenwasser, Robert H. ^{[1
]}

Herial, Nabeel A. ^{[1
]}

机构：

[1] Thomas Jefferson Univ Hosp, Sidney Kimmel Coll Med, Dept Neurol Surg, Philadelphia, PA 19107 USA

[2] Univ Arizona, Dept Neurosurg, Coll Med, Phoenix, AZ USA

来源：

INTERVENTIONAL NEURORADIOLOGY | 2023年 / 29卷 / 04期

关键词：

Mechanical thrombectomy; techniques; recanalization; ischemic stroke; STENT-RETRIEVER THROMBECTOMY; TISSUE-PLASMINOGEN ACTIVATOR; LARGE VESSEL OCCLUSION; INTRAVENOUS T-PA; ENDOVASCULAR TREATMENT; ASPIRATION; EFFICACY; DEVICE; REVASCULARIZATION; CATHETER;

D O I：

10.1177/15910199221084481

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Mechanical thrombectomy is established as standard of care in the management of acute ischemic stroke due to large vessel occlusion and evidence-based guidelines for mechanical thrombectomy have been defined. As research continues to further expand the eligibility criteria for thrombectomy and the number of thrombectomy procedures increase worldwide, there is also growing focus on innovation of thrombectomy devices, procedural techniques, and related outcomes. Thrombectomy primarily involves use of stent retrievers and distal aspiration techniques, but variations and different combinations of techniques have been reported. As this is a rapidly evolving area in stroke management, there is debate as to which, if any, of these techniques leads to improved clinical outcomes over another and there is a lack of data comparing them. In this review, currently published and distinct techniques of mechanical thrombectomy are described methodically along with illustrations to aid in understanding the subtle differences between the techniques. The perceived benefits of each variation are discussed.

引用

页码：450 / 458

页数：9

共 42 条

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