Acute stroke management: Endovascular options for treatment

Mikayel Grigoryan, Adnan I Qureshi

Research output: Contribution to journalArticlepeer-review

3 Scopus citations

Abstract

The management of acute ischemic stroke has advanced greatly over the past 2 decades. New interventions, including intravenous and endovascular treatment strategies, have evolved to recanalize arteries and salvage the ischemic brain. The evolution of interventional approaches to the treatment of acute stroke has been prompted by the limitations of intravenous therapy and intended to extend the treatment window, improve recanalization rates, and subsequently long-term clinical outcomes. The major techniques that have defined the current field of interventional acute stroke management and the relevant past and current data, and ongoing clinical trials on interventional stroke therapy will be reviewed. New issues, such as futile recanalization, and time to microcatheter, will also be discussed.

Original languageEnglish (US)
Pages (from-to)469-476
Number of pages8
JournalSeminars in Neurology
Volume30
Issue number5
DOIs
StatePublished - 2010

Keywords

  • Acute stroke
  • angioplasty
  • intraarterial thrombolysis
  • mechanical thrombectomy
  • recombinant tissue plasminogen activator
  • stenting

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