Endovascular Treatment in Acute Ischemic Stroke

Authors

  • ธนบูรณ์ วรกิจธำรงค์ชัย กลุ่มงานประสาทวิทยา สถาบันประสาทวิทยา กรมการแพทย์

Keywords:

acute stroke, mechanical thrombectomy, endovascular treatment

Abstract

Stroke is the major leading cause of death worldwide and the global burden attributable to stroke is increasing. The current evidence about good outcome in acute stroke management suggested aspirin giving in 48 hours or anticoagulant in cardioembolic stroke, intravenous rt-PA giving within 4.5 hours, caring stroke patient in stroke unit, decompressive wide craniectomy in middle cerebral artery infarction, and the last new evidence of mechanical thrombectomy or endovascular treatment. Endovascular thrombectomy is of benefit to most acute ischemic stroke patient caused by occlusion of the large vessels. We must to know how to select acute stroke patient for endovascular thrombectomy.

References

William JP, Colin PD, José B, et al. 2015 American Heart Association/American Stroke Association Focused Update of the 2013 Guidelines for the Early Management of Patients With Acute Ischemic Stroke Regarding Endovascular Treatment. A guideline for healthcare professionals from the
American Heart Association/American Stroke Association. Stroke 2015; 46:3020-35.

Goldstein LB, Bushnell CD, Adams RJ, et al. Guidelines for the primary prevention of stroke: a guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke 2011; 42(2):517-84.

Ciccone A, Valvassori L, Nichelatti M, et al. Endovascular treatment for acute ischemic stroke. N Engl J Med 2013; 368:904-13.

Berkhemer OA, Fransen PS, Beumer D, et al. A randomized trial of intraarterial treatment for acute ischemic stroke. N Engl J Med 2015; 372:11-20.

Goyal M, Demchuk AM, Menon BK, et al: Randomized assessment of rapid endovascular treatment of ischemic stroke. N Engl J Med 2015; 372:1019-30.

Campbell BC, Mitchell PJ, Kleinig TJ, et al. Endovascular therapy for ischemic stroke with perfusion-imaging selection. N Engl J Med 2015; 372:1009–18.

Saver JL, Goyal M, Bonafe A, et al. Stentretriever thrombectomy after intravenous t-PA vs. t-PA alone in stroke. N Engl J Med 2015; 372:2285-95.

Jovin TG, Bonafe A, Cobo E, et al. Thrombectomy within 8 hours after symptom onset in ischemic stroke. N Engl J Med 2015; 372:2296-306

Nambiar V, Sohn SI, Almekhlafi MA, et al. CTA collateral status and response to recanalization in patients with acute ischemic stroke. AJNR Am J Neuroradiol
2014; 35:884-9.

DeSousa KG, Potts MB, Raz E, et al. Turning point of acute stroke therapy: mechanical thrombectomy as a standard of care. World Neurosurg 2015; 83:953-6.

Almekhlafi MA, Davalos A, Bonafe A, et al. Impact of age and baseline NIHSS scores on clinical outcomes in the mechanical thrombectomy using solitaire FR in
acute ischemic stroke study. AJNR Am J Neuroradiol 2014; 35:1337-40.

Downloads

Published

2019-02-13

How to Cite

1.
วรกิจธำรงค์ชัย ธ. Endovascular Treatment in Acute Ischemic Stroke. J Thai Stroke Soc [Internet]. 2019 Feb. 13 [cited 2024 Apr. 28];16(3):5-13. Available from: https://he01.tci-thaijo.org/index.php/jtss/article/view/172097

Issue

Section

Original article