Journal of Neurosurgical Sciences 2020 Nov 27

DOI: 10.23736/S0390-5616.20.05109-7

Copyright © 2020 EDIZIONI MINERVA MEDICA

lingua: Inglese

Endovascular treatment of acute ischemic stroke

Paolo MACHI ¹, Andreas LUFT ^{2, 5}, Sebastian WINKLHOFER ^{3, 5}, Vaia ANAGNOSTAKOU ⁴, Zsolt KULCSÁR ^{3, 5, 6} ✉

¹ Service of Diagnostic and Interventional Neuroradiology, Geneva University Hospitals, Geneva, Switzerland; ² Department of Neurology, University Hospital of Zurich, Zurich, Switzerland; ³ Department of Neuroradiology, University Hospital of Zurich, Zurich, Switzerland; ⁴ Department of Radiology, New England Center for Research, University of Massachusetts Medical School, Worcester, MA, USA; ⁵ Clinical Neurocenter, University Hospital of Zurich, Zurich, Switzerland; ⁶ Center of Applied Biotechnology and Molecular Medicine, University of Zurich, Zurich, Switzerland

Endovascular treatment of acute ischemic stroke has become the first choice of treatment in large cerebral vessel occlusions, with a very high efficacy in terms of revascularization and reducing disability of affected patients. Revolutionizing acute therapy, it induced important paradigm shifts in the concepts of time and salvageable brain. In this review we focus on the current concepts of patient selection, imaging, techniques and perspectives of endovascular stroke treatment.

KEY WORDS: Acute ischemic stroke; Mechanical thrombectomy; Stent retriever; Thromboaspiration; Endovascular treatment