Acute ischaemic stroke interventions: large vessel occlusion and beyond.
Care for acute ischaemic stroke is one of the most rapidly evolving fields due to the robust outcomes achieved by mechanical thrombectomy. Large vessel occlusion (LVO) accounts for up to 38% of acute ischaemic stroke and comes with devastating outcomes for patients, families and society in the pre-intervention era. A paradigm shift and a breakthrough brought mechanical thrombectomy back into the spotlight for acute ischaemic stroke; this was because five randomised controlled trials from several countries concluded that mechanical thrombectomy for acute stroke offered overwhelming benefits. This review article will present a comprehensive overview of LVO management, techniques and devices used, and the future of stroke therapy. In addition, we review our institution experience of mechanical thrombectomy for posterior and distal circulation occlusion.
Duke Scholars
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- Treatment Outcome
- Thrombectomy
- Stroke
- Stents
- Risk Factors
- Risk Assessment
- Intracranial Thrombosis
- Humans
- Endovascular Procedures
- Combined Modality Therapy
Citation
Published In
DOI
EISSN
Publication Date
Volume
Issue
Start / End Page
Location
Related Subject Headings
- Treatment Outcome
- Thrombectomy
- Stroke
- Stents
- Risk Factors
- Risk Assessment
- Intracranial Thrombosis
- Humans
- Endovascular Procedures
- Combined Modality Therapy