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Novel and emerging technologies for endovascular thrombectomy
Alexander G Chartrain1, Ahmed J Awad1, Justin R Mascitelli1
1Department of Neurosurgery, Icahn School of Medicine at Mount Sinai, New York, New York.
Neurosurgical Focus
|April 4, 2017
Summary
Recent advancements in endovascular thrombectomy devices enhance procedure success and safety. This review explores new and emerging technologies aimed at improving reperfusion and minimizing complications in stroke treatment.
Area of Science:
- Medical Devices
- Interventional Neurology
- Vascular Surgery
Background:
- Endovascular thrombectomy is a crucial intervention for stroke treatment.
- Device improvements have significantly enhanced procedure success and safety.
- Increasing use necessitates further innovation in thrombectomy technology.
Purpose of the Study:
- To review novel and emerging technologies in endovascular thrombectomy.
- To highlight advancements focused on improving reperfusion rates.
- To discuss strategies for reducing procedural complications.
Main Methods:
- Literature review of recent advancements in endovascular thrombectomy devices.
- Analysis of emerging technologies and their impact on clinical outcomes.
- Synthesis of data on device performance and safety profiles.
Main Results:
- Significant improvements in reperfusion rates have been observed with newer devices.
- Novel device designs aim to reduce procedure time and increase accessibility.
- Emerging technologies show promise in minimizing risks such as vessel damage and embolization.
Conclusions:
- Continuous innovation in endovascular thrombectomy devices is crucial for optimal stroke care.
- Future developments will likely focus on enhanced navigation, retrieval efficiency, and safety features.
- The review underscores the dynamic nature of device development in interventional neurology.
Keywords:
ADAPT = A Direct Aspiration First Pass TechniqueBGC = balloon guide catheterERIC = Embolus Retriever with Interlinked CagesICH = intracerebral hemorrhageID = inner diameterLVO = large vessel occlusionOD = outer diameterTICI = Thrombolysis in Cerebral Infarctionacute ischemic strokeaspiration catheterendovascular thrombectomylarge vessel occlusionmRS = modified Rankin Scalestent retriever