Thrombectomy in Acute Ischemic Stroke: Challenges to Procedural Success

The overwhelming clinical benefit of intra-arterial stroke therapy owes to the major advance in revascularization brought on by the current generation of thrombectomy devices. Nevertheless, there remains a sizeable proportion of patients for whom substantial reperfusion cannot be achieved or is achi...

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Vydáno v:Journal of stroke Ročník 19; číslo 2; s. 121 - 130
Hlavní autoři: Yoo, Albert J., Andersson, Tommy
Médium: Journal Article
Jazyk:angličtina
Vydáno: Korea (South) Korean Stroke Society 01.05.2017
대한뇌졸중학회
Témata:
acute ischemic stroke
endovascular therapy
intra-arterial therapy
Special Review
thrombectomy
thrombus
신경과학
Thrombectomy
Endovascular therapy
Intra-arterial therapy
Acute ischemic stroke
Thrombus
ISSN:2287-6391, 1229-4101, 2287-6405
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Popis
Shrnutí:The overwhelming clinical benefit of intra-arterial stroke therapy owes to the major advance in revascularization brought on by the current generation of thrombectomy devices. Nevertheless, there remains a sizeable proportion of patients for whom substantial reperfusion cannot be achieved or is achieved too late. This article addresses the persistent challenges that face neurointerventionists and reviews technical refinements that may help to mitigate these obstacles to procedural success. Insights from in vitro modeling and clinical research are organized around a conceptual framework that examines the interaction between the device, the thrombus and the vessel wall.
Bibliografie:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
ObjectType-Review-3
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ISSN:2287-6391
1229-4101
2287-6405
DOI:10.5853/jos.2017.00752