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Endovascular thrombectomy 2020: open issues.

Peter Lanzer1, Petr Widimsky2, Diana A Gorog3,4

  • 1Cardiovascular Medicine,Mitteldeutsches Herzzentrum Standort Bitterfeld, Klinikum Bitterfeld-Wolfen, Friedrich-Ludwig-Jahn-Straße 2, D-06749 Bitterfeld-Wolfen, Germany.

European Heart Journal Supplements : Journal of the European Society of Cardiology
|March 5, 2021
PubMed
Summary
This summary is machine-generated.

Mechanical thrombectomy is a leading treatment for large artery occlusions in the anterior circulation. This review explores unresolved technical and procedural questions, particularly for posterior circulation perfusion defects, and highlights ongoing trials.

Keywords:
Mechanical thrombectomyacute ischemic strokeagenda 2020state-of-the-art

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Area of Science:

  • Neurology
  • Interventional Neuroradiology
  • Vascular Surgery

Background:

  • Mechanical thrombectomy is a standard treatment for anterior circulation large artery occlusions.
  • Optimal outcomes in all patients, including those with posterior circulation issues, require addressing technical and procedural challenges.

Purpose of the Study:

  • To review current technical and procedural issues in mechanical thrombectomy.
  • To identify knowledge gaps and ongoing research for improving patient outcomes.

Main Methods:

  • Literature review of mechanical thrombectomy techniques.
  • Discussion of unresolved issues in anterior and posterior circulation interventions.
  • Reference to ongoing clinical trials.

Main Results:

  • Mechanical thrombectomy is effective but has open technical questions.
  • Posterior circulation perfusion defects present unique challenges.
  • Ongoing trials aim to resolve current knowledge gaps.

Conclusions:

  • Further research and technical refinement are needed for mechanical thrombectomy.
  • Addressing specific challenges in posterior circulation is crucial.
  • Ongoing trials are expected to provide critical insights into optimizing treatment.