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Published on: October 1, 2017
Techniques and results: intracranial stenting
Edgar A Samaniego1, Guilherme Dabus, Italo Linfante
1Department of Neurointerventional Surgery, Baptist Cardiac and Vascular Institute, Miami, FL 33176, USA.
Insights
New stent devices show promise for improving recanalization rates in acute ischemic stroke patients with large-vessel occlusions, addressing limitations of current treatments.
Area of Science:
- Neurology
- Interventional Neuroradiology
- Biomedical Engineering
Background:
- Pharmacologic thrombolysis and thrombectomy devices have limited success in achieving recanalization for large-vessel occlusions.
- Poor recanalization rates correlate with unfavorable clinical outcomes in acute ischemic stroke patients.
Purpose of the Study:
- To review current stent technologies utilized in intracranial circulation.
- To discuss the application of these stents in treating acute ischemic stroke caused by large-vessel occlusion.
Main Methods:
- Literature review of current intracranial stent devices.
- Analysis of stent application in acute ischemic stroke management.
Main Results:
- Current stents offer potential for improved recanalization compared to conventional methods.
- Stent-retriever devices are a key focus in advancing treatment strategies.
Conclusions:
- Advanced stent-based approaches are crucial for enhancing treatment efficacy in large-vessel occlusion stroke.
- Further development of recanalization devices is needed to improve patient outcomes.
Abstract:
Recanalization rates with conventional pharmacologic thrombolysis and thrombectomy devices in the treatment of large-vessel occlusions are low. Moreover, these patients do not have favorable clinical outcomes. Better recanalization devices and approaches are needed. In this review, we describe current stents used in the intracranial circulation and their application in the treatment of acute ischemic stroke due to large-vessel occlusion.