Mechanical embolectomy. Review uri icon

Overview

abstract

  • Mechanical embolectomy in acute ischemic stroke employs the use of novel endovascular devices to revascularize occluded intracerebral arteries. Devices like the Merci Retiever and other endovascular snares, laser thrombectomy and rheolytic/obliterative microcatheters, intracranial balloon angioplasty and stenting, and intra-arterial and transcranial ultrasound-enhanced chemical thrombolysis are intended to improve tissue rescue and diminish reperfusion hemorrhage while broadening the population eligible for therapy. Patient selection with MRI- and CT-based stroke protocols can detect tissue at risk and may obviate the classic limitations of the stroke therapeutic time window. These devices are being developed and modified at a rapid pace, requiring mounting endovascular expertise, and are being used successfully alone or in conjunction with chemical thrombolysis with relative safety.

publication date

  • July 1, 2005

Research

keywords

  • Brain Ischemia
  • Embolectomy
  • Intracranial Embolism

Identity

Scopus Document Identifier

  • 27744510193

Digital Object Identifier (DOI)

  • 10.1016/j.nec.2005.03.002

PubMed ID

  • 15990038

Additional Document Info

volume

  • 16

issue

  • 3