Document Detail

Endovascular management of acute symptomatic intracranial arterial occlusion.
MedLine Citation:
PMID:  17053609     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: Acute ischemic stroke has reached epidemic proportions in the United States, affecting approximately 700,000 people annually. With the recent technological advancements in endovascular devices, clinicians now have tools capable of recanalizing acute intracranial occlusions. The combination of pharmacological thrombolysis and mechanical clot perturbation may result in increased rates of angiographic recanalization, which may lead to improvement in patient outcomes after acute stroke. METHODS: In this article, the various intra-arterial pharmacological and mechanical therapies used by interventionists to treat acute stroke are described. Strategies for using combinations of these therapies are discussed, as are preliminary radiographic and clinical outcomes. Techniques for complex mechanical stroke interventions are discussed in detail. RESULTS: Several advances in endovascular stroke technologies are becoming increasingly available. CONCLUSION: With proper patient selection, these therapies may lead to increased recanalization rates and better patient outcomes.
Erol Veznedaroglu; Elad I Levy
Related Documents :
8033939 - Comparison of symptomatic and asymptomatic reinfarctions after small subcortical stroke.
12187009 - Electrocardiographic changes in patients with acute stroke: a systematic review.
15106579 - Intravenous thrombolysis for acute ischemic stroke.
18698609 - Approach to and management of the acute stroke patient with atrial fibrillation: a lite...
14503929 - Association of transesophageal echocardiographic findings with the site of arterial occ...
9717879 - Validation of patient recall of doctor-diagnosed heart attack and stroke: a postal ques...
3954169 - Brain iron delocalization and lipid peroxidation following cardiac arrest.
15209719 - Assessment of regional myocardial blood flow with myocardial contrast echocardiography:...
15779859 - Reversible left ventricular hypertrophy after tako-tsubo-like cardiomyopathy.
Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Neurosurgery     Volume:  59     ISSN:  1524-4040     ISO Abbreviation:  Neurosurgery     Publication Date:  2006 Nov 
Date Detail:
Created Date:  2006-10-20     Completed Date:  2007-04-09     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  7802914     Medline TA:  Neurosurgery     Country:  United States    
Other Details:
Languages:  eng     Pagination:  S242-50; discussion S3-13     Citation Subset:  IM    
Department of Neurosurgery, Thomas Jefferson University, Philadelphia, Pennsylvania 19107, USA.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Acute Disease
Blood Vessel Prosthesis*
Brain Ischemia / therapy*
Fibrinolytic Agents / administration & dosage*
Intracranial Arterial Diseases / therapy*
Physician's Practice Patterns
Practice Guidelines as Topic
Thrombolytic Therapy / methods*
Vascular Surgical Procedures / instrumentation,  methods*
Reg. No./Substance:
0/Fibrinolytic Agents

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Cervical carotid revascularization: the case for carotid angioplasty with stenting.
Next Document:  Intracranial head and neck tumors: endovascular considerations, present and future.