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Mechanical Thrombectomy: Emerging Technologies and Techniques.

Edgar A Samaniego1, Jorge A Roa2, Kaustubh Limaye3

  • 1Division of Cerebrovascular Diseases Department of Neurology, Neurosurgery and Radiology, Carver College of Medicine, UIHC Comprehensive Stroke Center, University of Iowa, Iowa City, Iowa.

Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association
|July 2, 2018
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Summary
This summary is machine-generated.

Mechanical thrombectomy (MT) has revolutionized acute ischemic stroke treatment for large vessel occlusion (LVO). This effective and safe procedure is now the standard of care, improving patient outcomes.

Keywords:
Thrombectomyacute ischemic strokestentstentriever

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Area of Science:

  • Neurology
  • Interventional Neurology
  • Vascular Neurology

Background:

  • Acute ischemic stroke due to large vessel occlusion (LVO) is a disabling and fatal condition.
  • Recent advancements have significantly transformed LVO treatment strategies over the past decade.

Purpose of the Study:

  • To review and synthesize the evolution of treatments for acute ischemic stroke caused by LVO.
  • To highlight key literature on the progression of LVO therapies.

Main Methods:

  • A comprehensive literature review was conducted.
  • Studies detailing treatments from intravenous tissue plasminogen activator to mechanical thrombectomy (MT) were analyzed.
  • The evolution of LVO treatment was presented chronologically.

Main Results:

  • Modern mechanical thrombectomy (MT) techniques and devices achieve recanalization rates nearing 90%.
  • Prompt interventions using MT have led to improved clinical outcomes, with about 50% of patients achieving functional independence at 90 days.
  • Ongoing research involves evaluating at least 14 new-generation thrombectomy devices.

Conclusions:

  • Mechanical thrombectomy (MT) is a feasible and safe treatment for acute ischemic stroke with LVO.
  • MT is established as the standard of care for LVO stroke management.