Related Experiment Video
Updated: Feb 8, 2026
09:21
Optimized Management of Endovascular Treatment for Acute Ischemic Stroke
Published on: January 18, 2018
12.7K
Transcarotid Endovascular Thrombectomy for Acute Ischemic Stroke
1Department of Radiology, Stavanger University Hospital, Postboks 8100, 4068 Stavanger, Norway.
Journal of Vascular and Interventional Radiology : JVIR
|June 25, 2018
Summary
Transcarotid endovascular thrombectomy (EVT) offers a viable alternative when transfemoral access is challenging. This approach achieved successful reperfusion in stroke patients, with manageable complications.
Area of Science:
- Neurology
- Interventional Radiology
- Vascular Surgery
Background:
- Transfemoral endovascular thrombectomy (EVT) is a standard treatment for acute ischemic stroke.
- However, transfemoral access can be difficult or impossible in some patients, delaying or precluding treatment.
- Alternative access routes are needed to expand EVT eligibility.
Purpose of the Study:
- To evaluate the feasibility and outcomes of transcarotid EVT in patients with challenging transfemoral access.
- To assess reperfusion success and clinical outcomes in this cohort.
Main Methods:
- A brief review of 7 transcarotid EVT procedures.
- Assessment of reperfusion using the Thrombolysis In Cerebral Infarction (TICI) scale.
- Evaluation of clinical outcomes using the modified Rankin Scale (mRS).
Main Results:
- Successful reperfusion (TICI 2b or 3) was achieved in all 7 procedures.
- One patient experienced a neck hematoma requiring treatment.
- Two patients died; the remaining patients had an mRS score of 3 or less.
Conclusions:
- Transcarotid EVT is a feasible alternative when transfemoral access to the internal carotid artery is not possible.
- This approach can achieve successful reperfusion and favorable clinical outcomes in select stroke patients.
Related Concept Videos
01:27Regulation of Stroke Volume
5.2K
The regulation of stroke volume, which is the amount of blood the heart pumps out during each heartbeat, is critical for maintaining a healthy circulatory system. Stroke volume is influenced by three main factors: preload, contractility, and afterload.
Preload refers to the degree of stretch on the heart before it contracts. It's analogous to the stretching of a rubber band; the more it's stretched, the more forcefully it snaps back. This concept is encapsulated in the Frank-Starling law of the...
Preload refers to the degree of stretch on the heart before it contracts. It's analogous to the stretching of a rubber band; the more it's stretched, the more forcefully it snaps back. This concept is encapsulated in the Frank-Starling law of the...
5.2K
01:17Ischemic Heart Disease: Overview
3.4K
Ischemic heart disease occurs when the heart's blood supply dwindles, causing an ominous lack of oxygen and nutrients. This deficiency, stemming from reduced or obstructed blood flow, spells danger, leading to heart muscle damage and dysfunction.
Atherosclerosis, the primary malefactor, orchestrates this dangerous condition. It manifests as the accumulation of fatty deposits, akin to insidious plaques, within arterial walls. As time elapses, these plaques metamorphose, hardening and...
Atherosclerosis, the primary malefactor, orchestrates this dangerous condition. It manifests as the accumulation of fatty deposits, akin to insidious plaques, within arterial walls. As time elapses, these plaques metamorphose, hardening and...
3.4K
01:30Acute Pharyngitis
4.4K
Introduction
Acute pharyngitis is the inflammation of the back of the throat (pharynx), commonly resulting in a sore throat. It is a frequently encountered condition that prompts individuals to seek medical advice.
Classification
Acute pharyngitis can be categorized based on its underlying cause:
Acute pharyngitis is the inflammation of the back of the throat (pharynx), commonly resulting in a sore throat. It is a frequently encountered condition that prompts individuals to seek medical advice.
Classification
Acute pharyngitis can be categorized based on its underlying cause:
4.4K
01:11Cardiac Output and Stroke Volume
4.9K
Cardiac output (CO) is an integral aspect of human physiology, reflecting the heart's efficiency and responsiveness to the body's needs. It represents the volume of blood that the left or right ventricle ejects into the aorta or pulmonary trunk each minute. The CO is calculated by multiplying the heart rate (HR)—the number of heartbeats per minute—by the stroke volume (SV)—the amount of blood pumped out with each heartbeat.
In an average resting adult male, the typical cardiac...
In an average resting adult male, the typical cardiac...
4.9K
01:27Acute Pancreatitis I: Introduction
1.3K
Pancreatitis is inflammation of the pancreas, an organ located behind the stomach. It can be either acute or chronic.
Acute pancreatitis is characterized by rapid inflammation of the pancreas, often caused by factors like gallstone blockage or excessive alcohol consumption. Chronic pancreatitis, on the other hand, is a slow, progressive inflammation that may result from long-term alcohol abuse, obstructions in the pancreatic duct, or genetic factors.
The causes of acute pancreatitis include:
Acute pancreatitis is characterized by rapid inflammation of the pancreas, often caused by factors like gallstone blockage or excessive alcohol consumption. Chronic pancreatitis, on the other hand, is a slow, progressive inflammation that may result from long-term alcohol abuse, obstructions in the pancreatic duct, or genetic factors.
The causes of acute pancreatitis include:
1.3K
01:21Acute Respiratory Failure-I
1.1K
Acute respiratory failure is a condition characterized by the inability of the lungs to perform their primary function: gas exchange. This failure leads to insufficient oxygen levels (hypoxemia) in the blood, elevated carbon dioxide levels (hypercapnia), or both, causing critical impairment in organ function.
Definition: It is defined by specific criteria based on blood gas measurements. Hypoxemia happens when the partial pressure of oxygen (PaO2) falls below 60 mmHg. At the same time,...
Definition: It is defined by specific criteria based on blood gas measurements. Hypoxemia happens when the partial pressure of oxygen (PaO2) falls below 60 mmHg. At the same time,...
1.1K