Mechanical Thrombectomy with Stent Retrievers in Acute Ischemic Stroke

被引:3
作者
Hausegger, Klaus A. [1 ]
Hauser, Michael [1 ]
Kau, Thomas [1 ]
机构
[1] Klinikum Klagenfurt, Dept Diagnost & Intervent Radiol, A-9020 Klagenfurt, Austria
关键词
Stroke therapy; Neurointerventions; Arterial intervention; Brain/neurological/nervous system; Stroke; COOPERATIVE ACUTE STROKE; ENDOVASCULAR TREATMENT; SINGLE-CENTER; INTRACRANIAL VESSELS; RECANALIZATION; THERAPY; THROMBOLYSIS; TRIAL; REVASCULARIZATION; OCCLUSIONS;
D O I
10.1007/s00270-013-0825-6
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Mechanical thrombectomy (MTE) in patients with acute ischemic infarct caused by large-vessel occlusion is becoming used with increasing frequency in many stroke centers. With the introduction of stent retrievers, recanalization rates > 80 % are reached by most operators. However, although the technical success rate of MTE has been increased, clinical results have not improved to the same degree. In this review, the indications for MTE, the technique, and the technical and clinical outcomes are discussed. Complications and predictors for good clinical outcome are described based on recent data from the literature.
引用
收藏
页码:863 / 874
页数:12
相关论文
共 55 条
[1]   Conscious Sedation Versus General Anesthesia During Endovascular Therapy for Acute Anterior Circulation Stroke Preliminary Results From a Retrospective, Multicenter Study [J].
Abou-Chebl, Alex ;
Lin, Ridwan ;
Hussain, Muhammad Shazam ;
Jovin, Tudor G. ;
Levy, Elad I. ;
Liebeskind, David S. ;
Yoo, Albert J. ;
Hsu, Daniel P. ;
Rymer, Marilyn M. ;
Tayal, Ashis H. ;
Zaidat, Osama O. ;
Natarajan, Sabareesh K. ;
Nogueira, Raul G. ;
Nanda, Ashish ;
Tian, Melissa ;
Hao, Qing ;
Kalia, Junaid S. ;
Nguyen, Thanh N. ;
Chen, Michael ;
Gupta, Rishi .
STROKE, 2010, 41 (06) :1175-1179
[2]   Guidelines for the early management of adults with ischemic stroke -: A guideline from the American Heart Association/American Stroke Association Stroke Council, Clinical Cardiology Council, Cardiovascular Radiology and Intervention Council, and the Atherosclerotic Peripheral Vascular Disease and Quality of Care Outcomes in Research Interdisciplinary Working Groups (Reprinted from Stroke, vol 38, pg 1655-1711, 2007) [J].
Adams, Harold P., Jr. ;
del Zoppo, Gregory ;
Alberts, Mark J. ;
Bhatt, Deepak L. ;
Brass, Lawrence ;
Furlan, Anthony ;
Grubb, Robert L. ;
Higashida, Randall T. ;
Jauch, Edward C. ;
Kidwell, Chelsea ;
Lyden, Patrick D. ;
Morgenstern, Lewis B. ;
Qureshi, Adnan I. ;
Rosenwasser, Robert H. ;
Scott, Phillip A. ;
Wijdicks, Eelco F. M. .
CIRCULATION, 2007, 115 (20) :E478-E534
[3]   Validity and reliability of a quantitative computed tomography score in predicting outcome of hyperacute stroke before thrombolytic therapy [J].
Barber, PA ;
Demchuk, AM ;
Zhang, JJ ;
Buchan, AM .
LANCET, 2000, 355 (9216) :1670-1674
[4]   Endovascular Therapy after Intravenous t-PA versus t-PA Alone for Stroke [J].
Broderick, Joseph P. ;
Palesch, Yuko Y. ;
Demchuk, Andrew M. ;
Yeatts, Sharon D. ;
Khatri, Pooja ;
Hill, Michael D. ;
Jauch, Edward C. ;
Jovin, Tudor G. ;
Yan, Bernard ;
Silver, Frank L. ;
von Kummer, Ruediger ;
Molina, Carlos A. ;
Demaerschalk, Bart M. ;
Budzik, Ronald ;
Clark, Wayne M. ;
Zaidat, Osama O. ;
Malisch, Tim W. ;
Goyal, Mayank ;
Schonewille, Wouter J. ;
Mazighi, Mikael ;
Engelter, Stefan T. ;
Anderson, Craig ;
Spilker, Judith ;
Carrozzella, Janice ;
Ryckborst, Karla J. ;
Janis, L. Scott ;
Martin, Renee H. ;
Foster, Lydia D. ;
Tomsick, Thomas A. .
NEW ENGLAND JOURNAL OF MEDICINE, 2013, 368 (10) :893-903
[5]   Reduction in Distal Emboli With Proximal Flow Control During Mechanical Thrombectomy A Quantitative In Vitro Study [J].
Chueh, Ju-Yu ;
Kuehn, Anna Luisa ;
Puri, Ajit S. ;
Wilson, Scott D. ;
Wakhloo, Ajay K. ;
Gounis, Matthew J. .
STROKE, 2013, 44 (05) :1396-+
[6]  
Ciccone A, 2013, NEW ENGL J MED, V368, P904, DOI [10.1056/NEJMoa1213701, 10.1056/NEJMc1304759]
[7]   Anesthetic Management and Outcome in Patients during Endovascular Therapy for Acute Stroke [J].
Davis, Melinda J. ;
Menon, Bijoy K. ;
Baghirzada, Leyla B. ;
Campos-Herrera, Cynthia R. ;
Goyal, Mayank ;
Hill, Michael D. ;
Archer, David P. .
ANESTHESIOLOGY, 2012, 116 (02) :396-404
[8]   Acute Stroke: Postprocedural Care and Management of Complications [J].
de Carvalho, Flavio Augusto ;
de Figueiredo, Marcelo Marinho ;
Silva, Gisele Sampaio .
TECHNIQUES IN VASCULAR AND INTERVENTIONAL RADIOLOGY, 2012, 15 (01) :78-86
[9]   Stroke [J].
Donnan, Geoffrey A. ;
Fisher, Marc ;
Macleod, Malcolm ;
Davis, Stephen M. .
LANCET, 2008, 371 (9624) :1612-1623
[10]   Endovascular Treatment of Acute Intracerebral Artery Occlusions with the Solitaire Stent: Single-Centre Experience with 108 Recanalization Procedures [J].
Dorn, F. ;
Stehle, S. ;
Lockau, H. ;
Zimmer, C. ;
Liebig, T. .
CEREBROVASCULAR DISEASES, 2012, 34 (01) :70-77