Endovascular treatments for ischemic stroke

نویسندگان

چکیده

Highlights . Mechanical thrombectomy is the “gold standard” treatment of patients with large-vessel occlusions. Five randomized trials conducted in 2015 made a significant contribution to development and introduction mechanical into clinical practice. The DAWN DEFUSE-3 have provided new insights pathophysiology ischemic stroke ensured advancement therapeutic field. Abstract Stroke one leading causes death disability worldwide. general strategy for aimed at restoring blood flow regions brain. Intravenous thrombolysis has been acute since 1996. However, 2015, as result 5 trials, endovascular become gold standard large cerebral artery occlusion. DEFUSE 3 stroke, shifting paradigm from “time = brain” “collaterals brain”. In this article, authors will consider devices, modern techniques, directions further research stroke.

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Endovascular Therapy for Ischemic Stroke

The utility of intravenous tissue plasminogen activator (IV t-PA) in improving the clinical outcomes after acute ischemic stroke has been well demonstrated in past clinical trials. Though multiple initial small series of endovascular stroke therapy had shown good outcomes as compared to IV t-PA, a similar beneficial effect had not been translated in multiple randomized clinical trials of endova...

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[Endovascular treatment for acute ischemic stroke].

The benefit of endovascular treatment (ET) after acute ischemic stroke has long been debated. Recent studies have demonstrated the clinical benefit of ET up to approximately 8 hours after stroke onset, mainly in association with intranenous thrombolysis. The positive effect is higher if ET is initiated early and performed by an experienced team. Current ET techniques include thrombectomy with c...

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Endovascular Treatment for Acute Ischemic Stroke

From the Stroke Unit and Department of Neurology (A.C., A.S., R.S.), the Neuro­ interventional Unit and Department of Neuroradiology (L.V., E.B.), and the Bio­ statistics Service and Hematology De­ partment (M.N.), Niguarda Ca’ Granda Hospital, Milan; the Stroke Unit and Department of Neurology, Carlo Poma Hospital, Mantua (A.C.); and the Epide­ miology and Medical Statistics Section, Departmen...

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Endovascular Treatment for Acute Ischemic Stroke

To the Editor: In the Mechanical Retrieval and Recanalization of Stroke Clots Using Embolectomy (MR RESCUE) trial, reported by Kidwell et al. (March 7 issue),1 22 participating centers enrolled 118 patients during the period from 2004 through 2011. Thus, on average, each participating center enrolled 1 patient every 16 months. This extremely low rate may suggest that inclusion in the trial was ...

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Endovascular therapy for acute ischemic stroke.

BACKGROUND AND PURPOSE To review advances in endovascular therapy for acute ischemic stroke. METHODS Data from primate studies, randomized studies of intravenous recombinant tissue-type plasminogen activator, and nonrandomized and randomized studies of endovascular therapy were reviewed. RESULTS Clinical trial data demonstrate the superiority of endovascular treatment with thrombolytic medi...

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ژورنال

عنوان ژورنال: ??????????? ???????? ????????-?????????? ???????????

سال: 2022

ISSN: ['2587-9537', '2306-1278']

DOI: https://doi.org/10.17802/2306-1278-2022-11-3-188-198