Recent advances in devices for mechanical thrombectomy

被引：30

作者：

Blanc, Raphael ^{[1
,2
,3
]}

Escalard, Simon ^{[1
]}

Baharvadhat, Humain ^{[1
]}

Desilles, Jean Philippe ^{[1
,2
,3
]}

Boisseau, William ^{[1
]}

Fahed, Robert ^{[4
]}

Redjem, Hocine ^{[1
]}

Ciccio, Gabriele ^{[1
]}

Smajda, Stanislas ^{[1
]}

Maier, Benjamin ^{[1
]}

Delvoye, Francois ^{[1
]}

Hebert, Solene ^{[1
]}

Mazighi, Mikael ^{[1
,2
,3
]}

Piotin, Michel ^{[1
,2
,3
]}

机构：

[1] Fdn Rothschild Hosp, Intervent Neuroradiol Dept, F-75019 Paris, France

[2] Univ Paris Denis Diderot, Sorbonne Paris Cite, Paris, France

[3] Inst Natl Sante & Rech Med INSERM, U1148, Lab Vasc Translat Sci, Paris, France

[4] Ottawa Hosp, Div Radiol, Dept Med Imaging, Dept Med,Div Neurol, Ottawa, ON, Canada

来源：

EXPERT REVIEW OF MEDICAL DEVICES | 2020年 / 17卷 / 07期

关键词：

A direct first pass aspiration technique (ADAPT); Balloon Guide Catheter (BGC); emboli in new territory (ENT); intra venous thrombolysis (IVT); first pass effect (FPE); large vessel occlusion (LVO); Mechanical Thrombectomy (MT); stent retriever (SR); TICI score; ACUTE ISCHEMIC-STROKE; BALLOON GUIDE CATHETER; STENT RETRIEVER THROMBECTOMY; LARGE VESSEL OCCLUSION; CLINICAL-OUTCOMES; ENDOVASCULAR THERAPY; CONTROLLED-TRIAL; ASPIRATION; REVASCULARIZATION; MULTICENTER;

D O I：

10.1080/17434440.2020.1784004

中图分类号：

R318 [生物医学工程];

学科分类号：

0831 ;

摘要：

Introduction Acute ischemic stroke (AIS) secondary to the occlusion of a large intracranial vessel (LVO) is a recognized public health problem. Mechanical thrombectomy (MT) has gained full acceptance: Class A, Level 1 in 2015 after the publication of numerous trials. Further meta-analyses have scrutinized extensively those results and international recommendations and guidelines have been given. Nevertheless, multiple-specific points remain to be clarified and are or will be under investigations. Areas covered This review of the most recent literature (mostly publications after 2015) will cover the actual common practice for MT, especially focusing on the devices available (and their validation), how they are commonly used, relate the most relevant results, and detail some emerging technologies. Expert opinion The authors will express their own view on the current practice and emphasize on the areas where questions remain and hypothesize what specific improvements are necessary and prone to occur.

引用

页码：697 / 705

页数：9

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