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  CEREBRAL REVASCULARIZATION AND ENDOVASCULAR STROKE TREATMENT 

Journal of Neurosurgical Sciences 2011 June;55(2):151-60

Copyright © 2011 EDIZIONI MINERVA MEDICA

language: English

Intra-arterial thrombolysis and thrombectomy for acute ischemic stroke: technique and results

Kan P. T. 1, 4, Orion D. 1, 4, Yashar P. 1, 4, Levy E. I. 1, 4

1 Department of 1Neurosurgery, School of Medicine and Biomedical Sciences, University at Buffalo, State University of New York, Buffalo, NY, USA 2 Department of Radiology, School of Medicine and Biomedical Sciences, University at Buffalo, State University of New York, Buffalo, NY, USA 3 Toshiba Stroke Research Center, School of Medicine and Biomedical Sciences, University at Buffalo, State University of New York, Buffalo, NY, USA 4 Department of Neurosurgery, Millard Fillmore Gates Circle Hospital, Kaleida Health, Buffalo, NY, USA


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Endovascular intraarterial (IA) strategies have emerged as important treatment options for patients with acute ischemic stroke who are ineligible for intravenous (IV) tissue plasminogen activator (tPA) or in whom such therapy has failed. The goal of this article is to provide a comprehensive review of percutaneous IA endovascular techniques aimed at revascularization in the setting of acute ischemic stroke from IA thrombolysis, mechanical thrombectomy, and primary intracranial stenting to retrievable-stent technology. For each modality, we focus on the existing clinical data, including our institutional experience and techniques.

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