Neuroendovascular Rescue 2025: Trends in Stroke Endovascular Therapy.
Neurol Clin
; 42(3): 717-738, 2024 Aug.
Article
em 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.
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Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Procedimentos Endovasculares
Limite:
Humans
Idioma:
En
Revista:
Neurol Clin
Ano de publicação:
2024
Tipo de documento:
Article
País de publicação:
Estados Unidos