Universität zu Köln

Liebig, T., Gralla, J. and Schroth, G. (2015). Endovascular Treatment of Acute Stroke: Evolution and Selection of Techniques and Instruments Based on Thrombus Imaging. Clin. Neuroradiol., 25. S. 299 - 307. HEIDELBERG: SPRINGER HEIDELBERG. ISSN 1869-1447

Full text not available from this repository.

Abstract

Mechanical thrombectomy provides higher recanalization rates than intravenous or intra-arterial thrombolysis. Finally this has been shown to translate into improved clinical outcome in six multicentric randomized controlled trials. However, within cohorts the clinical outcomes may vary, depending on the endovascular techniques applied. Systems aiming mainly for thrombus fragmentation and lacking a protection against distal embolization have shown disappointing results when compared to recent stent-retriever studies or even to historical data on local arterial fibrinolysis. Procedure-related embolic events are usually graded as adverse events in interventional neuroradiology. In stroke, however, the clinical consequences of secondary emboli have so far mostly been neglected and attributed to progression of the stroke itself. We summarize the evolution of instruments and techniques for endovascular, image-guided, microneurosurgical recanalization in acute stroke, and discuss how to avoid procedure-related embolic complications.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Liebig, T. UNSPECIFIED UNSPECIFIED UNSPECIFIED Gralla, J. UNSPECIFIED UNSPECIFIED UNSPECIFIED Schroth, G. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-391645
DOI:	10.1007/s00062-015-0435-6
Journal or Publication Title:	Clin. Neuroradiol.
Volume:	25
Page Range:	S. 299 - 307
Date:	2015
Publisher:	SPRINGER HEIDELBERG
Place of Publication:	HEIDELBERG
ISSN:	1869-1447
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language ACUTE ISCHEMIC-STROKE; INTERNAL CAROTID-ARTERY; MECHANICAL THROMBECTOMY; RANDOMIZED-TRIAL; MERCI RETRIEVER; IN-VIVO; OCCLUSION; THERAPY; DEVICE; RECANALIZATION Multiple languages Clinical Neurology; Radiology, Nuclear Medicine & Medical Imaging Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/39164