Neuroendovascular Rescue 2025: Trends in Stroke Endovascular Therapy.
Neurol Clin
; 42(3): 717-738, 2024 Aug.
Article
in En
| MEDLINE
| ID: mdl-38937038
ABSTRACT
Neuroendovascular rescue of patients with acute ischemic stroke caused by a large arterial occlusion has evolved throughout the first quarter of the present century, and continues to do so. Starting with the intra-arterial instillation of thrombolytic agents via microcatheters to dissolve occluding thromboembolic material, the current status is one that includes a variety of different techniques such as direct aspiration of thrombus, removal by stent retriever, adjuvant techniques such as balloon angioplasty, stenting, and tactical intra-arterial instillation of thrombolytic agents in smaller branches to treat no-reflow phenomenon. The results have been consistently shown to benefit these patients, irrespective of whether they had already received intravenous tissue-type plasminogen activator or not. Improved imaging methods of patient selection and tactically optimized periprocedural care measures complement this dimension of the practice of neurointervention.
Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Endovascular Procedures
Limits:
Humans
Language:
En
Journal:
Neurol Clin
Year:
2024
Document type:
Article