[Border areas of thrombectomy].

Der Nervenarzt
Marios-Nikos PsychogiosLeo H Bonati

Abstract

Mechanical thrombectomy (MT) has become the standard procedure in the treatment of patients with acute ischemic stroke (AIS) due to occlusion of a large proximal cerebral artery of the anterior circulation. Nevertheless, according to the current guidelines large patient collectives are still excluded from this highly effective treatment method. Therefore, this article gives an overview of possible extensions of the indications for treatment with MT. For example, patients in the extended time window with distal occlusions, with large infarct cores and also for very old (90+ years) or young (0-17 years) patients. Furthermore, we discuss recent developments in the interventional treatment of stroke, such as new triage concepts or the question whether an additional intravenous thrombolysis is necessary in patients with MT. We conclude with our own estimations for the discussed indications for treatment based on our clinical experience and the current literature.

References

Sep 26, 2008·The New England Journal of Medicine·Werner HackeUNKNOWN ECASS Investigators
Oct 17, 2009·Stroke; a Journal of Cerebral Circulation·Wade S SmithKaren L Furie
Dec 18, 2014·The New England Journal of Medicine·Olvert A BerkhemerUNKNOWN MR CLEAN Investigators
Feb 12, 2015·The New England Journal of Medicine·Bruce C V CampbellUNKNOWN EXTEND-IA Investigators
Feb 12, 2015·The New England Journal of Medicine·Mayank GoyalUNKNOWN ESCAPE Trial Investigators
Apr 12, 2015·Neurology·Barbara Goeggel SimonettiUrs Fischer
May 8, 2015·Journal of Neurointerventional Surgery·Diogo C HaussenRaul G Nogueira
May 20, 2015·Journal of Neurology, Neurosurgery, and Psychiatry·Benjamin GoryFrancis Turjman
Jun 16, 2016·Stroke; a Journal of Cerebral Circulation·Peter VanackerPatrik Michel
Sep 28, 2016·JAMA : the Journal of the American Medical Association·Jeffrey L SaverUNKNOWN HERMES Collaborators
Nov 23, 2016·Journal of the Neurological Sciences·Georgios TsivgoulisAnne W Alexandrov
Mar 5, 2017·Journal of Vascular and Interventional Radiology : JVIR·Fabrizio SallustioRoberto Gandini
Oct 12, 2017·Stroke; a Journal of Cerebral Circulation·Marios-Nikos PsychogiosMichael Knauth
Oct 27, 2017·Stroke; a Journal of Cerebral Circulation·Adeline DozoisAndrew W Asimos
Nov 14, 2017·The New England Journal of Medicine·Raul G NogueiraUNKNOWN DAWN Trial Investigators
Jan 25, 2018·The New England Journal of Medicine·Gregory W AlbersUNKNOWN DEFUSE 3 Investigators
Apr 26, 2018·The New England Journal of Medicine·Bruce C V CampbellUNKNOWN EXTEND-IA TNK Investigators
May 17, 2018·Interventional Neurology·Diana E SlawskiMouhammad A Jumaa
May 17, 2018·The New England Journal of Medicine·Götz ThomallaUNKNOWN WAKE-UP Investigators
May 19, 2018·Journal of Neurointerventional Surgery·Shashvat M DesaiAshutosh P Jadhav
Jul 17, 2018·Journal of Neuroimaging : Official Journal of the American Society of Neuroimaging·Mersedeh Bahr HosseiniJeffrey L Saver
Jul 22, 2018·Clinical Neuroradiology·Volker MausMarios-Nikos Psychogios
Sep 13, 2018·JAMA : the Journal of the American Medical Association·Bijoy K MenonUNKNOWN INTERRSeCT Study Investigators
Jan 11, 2019·Stroke; a Journal of Cerebral Circulation·Elliot J TillingKeith W Muir
Sep 1, 2016·European Stroke Journal·Jens FiehlerPeter D Schellinger
May 10, 2019·Clinical Neuroradiology·D BehmeM N Psychogios
Aug 12, 2019·Journal of Neurointerventional Surgery·Federico CagnazzoVincent Costalat
Oct 11, 2019·Stroke; a Journal of Cerebral Circulation·Heitor C AlvesCharles B L M Majoie

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