Mechanical Thrombectomy with Stent Retrievers in Acute Ischemic Stroke

被引：0
作者：
Klaus A. Hausegger
Michael Hauser
Thomas Kau
机构：
[1] Klinikum Klagenfurt,Department of Diagnostic and Interventional Radiology
来源：
CardioVascular and Interventional Radiology | 2014年 / 37卷
关键词：
Stroke therapy; Neurointerventions; Arterial intervention; Brain/neurological/nervous system; Stroke;
D O I：
暂无
中图分类号：
学科分类号：
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.
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页码：863 / 874
页数：11
相关论文
共 477 条
[21]  
Sacks D(2012)Clinical MRI of acute ischemic stroke J Magn Reson Imaging 36 259-271
[22]  
Furlan AJ(2010)Conscious sedation versus general anesthesia during endovascular therapy for acute anterior circulation stroke: preliminary results from a retrospective, multicenter study Stroke 41 1175-1179
[23]  
Higashida R(2012)Anesthetic management and outcome in patients during endovascular therapy for acute stroke Anesthesiology 116 396-405
[24]  
Wechsler L(2013)Mechanical thrombectomy in acute stroke: prospective pilot trial of the solitaire FR device while under conscious sedation Am J Neuroradiol 34 360-365
[25]  
Gent M(2013)Endovascular treatment of acute ischemic stroke under conscious sedation compared to general anesthesia: safety, feasibility and clinical and radiological outcome Fortschr Geb Röntgenstr 185 320-327
[26]  
Rowley H(2012)Acute stroke: postprocedural care and management of complications Tech Vasc Interv Rad 15 78-86
[27]  
Kase C(2007)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: The American Academy of Neurology affirms the value of this guideline as an educational tool for neurologists Circulation
[28]  
Hacke W(2012)Manual aspiration thrombectomy: adjunctive endovascular recanalization technique in acute stroke interventions Stroke 43 1408-1411
[29]  
Kaste M(2012)Manual aspiration thrombectomy through balloon-tipped guide catheter for rapid clot burden reduction in endovascular therapy for ICA L/T occlusion Neuroradiology 54 1261-1265
[30]  
Fieschi C(2009)The penumbra pivotal stroke trial: safety and effectiveness of a new generation of mechanical devices for clot removal in intracranial large vessel occlusive disease Stroke 40 2761-2768
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