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Therapeutic Neuroradiology; Intra-Arterial Thrombolysis
Book chapter

Therapeutic Neuroradiology; Intra-Arterial Thrombolysis

D.T Cross and C.P Derdeyn
Encyclopedia of the Neurological Sciences, pp.433-436
Elsevier Inc, Second Edition
2014
DOI: 10.1016/B978-0-12-385157-4.00206-2

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Abstract

Endovascular treatment for patients with acute ischemic stroke is rapidly evolving. Early efforts relied on direct infusion of fibrinolytic agents at the surface of the thrombus. More recently, mechanical devices for suction aspiration or clot retrieval have been introduced with very high technical success rates for recanalization. Randomized trial data proving clinical efficacy is lacking but several trials are underway. The optimal methods for patient selection (imaging and clinical criteria) remain to be determined. Endovascular intervention almost certainly will benefit a subset of patients presenting with acute ischemic stroke.
Recanalization Thromboembolic stroke Thrombectomy Reperfusion Tissue plasminogen activator Suction aspiration Catheter Fluoroscopy Ischemic stroke Fibrinolysis Thrombolysis Stentriever

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