Endovascular Treatment for Acute Ischemic Stroke
نویسنده
چکیده
From the Stroke Unit and Department of Neurology (A.C., A.S., R.S.), the Neuro interventional Unit and Department of Neuroradiology (L.V., E.B.), and the Bio statistics Service and Hematology De partment (M.N.), Niguarda Ca’ Granda Hospital, Milan; the Stroke Unit and Department of Neurology, Carlo Poma Hospital, Mantua (A.C.); and the Epide miology and Medical Statistics Section, Department of Health Sciences, Univer sity of Pavia, Pavia (M.P.) — all in Italy. Address reprint requests to Dr. Ciccone at the Department of Neurology and Stroke Unit, Carlo Poma Hospital, Strada Lago Paiolo 10, 46100 Mantua, Italy, or at [email protected].
منابع مشابه
Endovascular Intervention for Acute Ischemic Stroke in Light of Recent Trials
Three recently published trials, MR RESCUE, IMS III, and SYNTHESIS Expansion, evaluating the efficacy and safety of endovascular treatment of acute ischemic stroke have generated concerns about the future of endovascular approach. However, the tremendous evolution that imaging and endovascular treatment modalities have undergone over the past several years has raised doubts about the validity o...
متن کاملRisk of Intracranial Hemorrhage after Endovascular Treatment for Acute Ischemic Stroke: Systematic Review and Meta-Analysis.
BACKGROUND Intracranial hemorrhage is a major complication of endovascular treatment in patients with acute ischemic stroke. Controlled clinical trials reported varied incidences of intracranial hemorrhage after endovascular treatment. This meta-analysis aimed to estimate whether endovascular treatment, compared with medical treatment, increases the risk of intracranial hemorrhage in patients w...
متن کاملEndovascular Therapy in Acute Ischemic Stroke: Challenges and Transition From Trials to Bedside.
Rapid and effective revascularization is the mainstay of acute ischemic stroke treatment. Until recently, intravenous recombinant tissue-type plasminogen activator (r-tPA) was the only established therapeutic option. Five recently published trials have now proven the benefit of endovascular treatment, changing dramatically the evaluation and treatment of acute ischemic stroke. Thrombectomy with...
متن کاملEndovascular Treatment for Acute Ischemic Stroke: Considerations from Recent Randomized Trials.
BACKGROUND Despite increasing use of intravenous recombinant tissue plasminogen activator therapy, the large number of patients ineligible for treatment or for whom treatment is ineffective has become problematic. SUMMARY The number of endovascular treatments for acute ischemic stroke is increasing each year. This treatment provides higher recanalization rates for occluded vessels but may lea...
متن کاملCost-effectiveness of endovascular thrombectomy in patients with acute ischemic stroke.
OBJECTIVE To evaluate the cost-effectiveness of adding endovascular thrombectomy to standard care in patients with acute ischemic stroke. METHODS The cost-effectiveness analysis of endovascular thrombectomy in patients with acute ischemic stroke was based on a decision-analytic Markov model. Primary outcomes from ESCAPE, Extending the Time for Thrombolysis in Emergency Neurological Deficits-I...
متن کاملMicrocatheter to recanalization (procedure time) predicts outcomes in endovascular treatment in patients with acute ischemic stroke: when do we stop?
BACKGROUND AND PURPOSE Endovascular treatment for acute ischemic stroke consists of various mechanical and pharmacologic modalities used for recanalization of arterial occlusions. We performed this study to determine the relationship among procedure time, recanalization, and clinical outcomes in patients with acute ischemic stroke undergoing endovascular treatment. MATERIALS AND METHODS We an...
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تاریخ انتشار 2013