Endovascular Therapy for Acute Stroke: New Evidence and Indications

Endovascular therapy; Large ischemic core; Large vessel occlusion

Detalles Bibliográficos
Autores: Sahoo, Anurag, Abdalkader, Mohamad, Yamagami, Hiroshi, Huo, Xiaochuan, Sun, Dapeng, Jia, Baixue, Diana, Francesco
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2023
País:España
Institución:Departament de Salut de la Generalitat de Catalunya (DS)
Repositorio:Scientia. Dipòsit d'Informació Digital del Departament de Salut
OAI Identifier:oai:scientiasalut.gencat.cat:11351/10838
Acceso en línea:https://hdl.handle.net/11351/10838
Access Level:acceso abierto
Palabra clave:Malalties cerebrovasculars - Tractament
Vasos sanguinis - Cirurgia
DISEASES::Nervous System Diseases::Central Nervous System Diseases::Brain Diseases::Cerebrovascular Disorders::Stroke
ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Surgical Procedures, Operative::Cardiovascular Surgical Procedures::Vascular Surgical Procedures::Endovascular Procedures
ENFERMEDADES::enfermedades del sistema nervioso::enfermedades del sistema nervioso central::enfermedades cerebrales::trastornos cerebrovasculares::accidente cerebrovascular
TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::intervenciones quirúrgicas::procedimientos quirúrgicos cardiovasculares::procedimientos quirúrgicos vasculares::procedimientos endovasculares
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spelling Endovascular Therapy for Acute Stroke: New Evidence and IndicationsSahoo, AnuragAbdalkader, MohamadYamagami, HiroshiHuo, XiaochuanSun, DapengJia, BaixueDiana, FrancescoMalalties cerebrovasculars - TractamentVasos sanguinis - CirurgiaDISEASES::Nervous System Diseases::Central Nervous System Diseases::Brain Diseases::Cerebrovascular Disorders::StrokeANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Surgical Procedures, Operative::Cardiovascular Surgical Procedures::Vascular Surgical Procedures::Endovascular ProceduresENFERMEDADES::enfermedades del sistema nervioso::enfermedades del sistema nervioso central::enfermedades cerebrales::trastornos cerebrovasculares::accidente cerebrovascularTÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::intervenciones quirúrgicas::procedimientos quirúrgicos cardiovasculares::procedimientos quirúrgicos vasculares::procedimientos endovascularesEndovascular therapy; Large ischemic core; Large vessel occlusionTeràpia endovascular; Gran nucli isquèmic; Oclusió de grans vasosTerapia endovascular; Gran núcleo isquémico; Oclusión de grandes vasosEndovascular therapy (EVT) has revolutionized the treatment of acute ischemic stroke. In the past few years, endovascular treatment indications have expanded to include patients being treated in the extended window, with large ischemic core infarction, basilar artery occlusion (BAO) thrombectomy, as demonstrated by several randomized clinical trials. Intravenous thrombolysis (IVT) bridging to mechanical thrombectomy has also been studied via several randomized clinical trials, with the overall results indicating that IVT should not be skipped in patients who are candidates for both IVT and EVT. Simplification of neuroimaging protocols in the extended window to permit non-contrast CT, CTA collaterals have also expanded access to mechanical thrombectomy, particularly in regions across the world where access to advanced imaging may not be available. Ongoing study of areas to develop include rescue stenting in patients with failed thrombectomy, medium vessel occlusion thrombectomy, and carotid tandem occlusions. In this narrative review, we summarize recent trials and key data in the treatment of patients with large ischemic core infarct, simplification of neuroimaging protocols for the treatment of patients presenting in the late window, bridging thrombolysis, and BAO EVT evidence. We also summarize areas of ongoing study including medium and distal vessel occlusion.The Japanese Society for Neuroendovascular TherapyInstitut Català de la Salut[Sahoo A, Abdalkader M] Boston Medical Center, Boston University Chobanian and Avedisian School of Medicine, Boston, MA, USA. [Yamagami H] Stroke Neurology, National Hospital Organization Osaka National Hospital, Osaka, Japan. [Huo X] Cerebrovascular Disease, Beijing Anzhen Hospital, Capital Medical University, Beijing, China. [Sun D, Jia B] Interventional Neuroradiology, Beijing Tiantan Hospital, Beijing, China. [Diana F] Servei de Neuroradiologia, Vall d’Hebron Hospital Universitari, Barcelona, Spain. Vall d’Hebron Institut de Recerca (VHIR), Barcelona, SpainVall d'Hebron Barcelona Hospital Campus202420242023info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://hdl.handle.net/11351/10838Scientiareponame:Scientia. Dipòsit d'Informació Digital del Departament de Salutinstname:Departament de Salut de la Generalitat de Catalunya (DS)InglésJournal of Neuroendovascular Therapy;17(11)https://doi.org/10.5797/jnet.ra.2023-0047Attribution-NonCommercial-NoDerivatives 4.0 Internationalhttp://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessoai:scientiasalut.gencat.cat:11351/108382026-06-12T09:38:37Z
dc.title.none.fl_str_mv Endovascular Therapy for Acute Stroke: New Evidence and Indications
title Endovascular Therapy for Acute Stroke: New Evidence and Indications
spellingShingle Endovascular Therapy for Acute Stroke: New Evidence and Indications
Sahoo, Anurag
Malalties cerebrovasculars - Tractament
Vasos sanguinis - Cirurgia
DISEASES::Nervous System Diseases::Central Nervous System Diseases::Brain Diseases::Cerebrovascular Disorders::Stroke
ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Surgical Procedures, Operative::Cardiovascular Surgical Procedures::Vascular Surgical Procedures::Endovascular Procedures
ENFERMEDADES::enfermedades del sistema nervioso::enfermedades del sistema nervioso central::enfermedades cerebrales::trastornos cerebrovasculares::accidente cerebrovascular
TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::intervenciones quirúrgicas::procedimientos quirúrgicos cardiovasculares::procedimientos quirúrgicos vasculares::procedimientos endovasculares
title_short Endovascular Therapy for Acute Stroke: New Evidence and Indications
title_full Endovascular Therapy for Acute Stroke: New Evidence and Indications
title_fullStr Endovascular Therapy for Acute Stroke: New Evidence and Indications
title_full_unstemmed Endovascular Therapy for Acute Stroke: New Evidence and Indications
title_sort Endovascular Therapy for Acute Stroke: New Evidence and Indications
dc.creator.none.fl_str_mv Sahoo, Anurag
Abdalkader, Mohamad
Yamagami, Hiroshi
Huo, Xiaochuan
Sun, Dapeng
Jia, Baixue
Diana, Francesco
author Sahoo, Anurag
author_facet Sahoo, Anurag
Abdalkader, Mohamad
Yamagami, Hiroshi
Huo, Xiaochuan
Sun, Dapeng
Jia, Baixue
Diana, Francesco
author_role author
author2 Abdalkader, Mohamad
Yamagami, Hiroshi
Huo, Xiaochuan
Sun, Dapeng
Jia, Baixue
Diana, Francesco
author2_role author
author
author
author
author
author
dc.contributor.none.fl_str_mv Institut Català de la Salut
[Sahoo A, Abdalkader M] Boston Medical Center, Boston University Chobanian and Avedisian School of Medicine, Boston, MA, USA. [Yamagami H] Stroke Neurology, National Hospital Organization Osaka National Hospital, Osaka, Japan. [Huo X] Cerebrovascular Disease, Beijing Anzhen Hospital, Capital Medical University, Beijing, China. [Sun D, Jia B] Interventional Neuroradiology, Beijing Tiantan Hospital, Beijing, China. [Diana F] Servei de Neuroradiologia, Vall d’Hebron Hospital Universitari, Barcelona, Spain. Vall d’Hebron Institut de Recerca (VHIR), Barcelona, Spain
Vall d'Hebron Barcelona Hospital Campus
dc.subject.none.fl_str_mv Malalties cerebrovasculars - Tractament
Vasos sanguinis - Cirurgia
DISEASES::Nervous System Diseases::Central Nervous System Diseases::Brain Diseases::Cerebrovascular Disorders::Stroke
ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Surgical Procedures, Operative::Cardiovascular Surgical Procedures::Vascular Surgical Procedures::Endovascular Procedures
ENFERMEDADES::enfermedades del sistema nervioso::enfermedades del sistema nervioso central::enfermedades cerebrales::trastornos cerebrovasculares::accidente cerebrovascular
TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::intervenciones quirúrgicas::procedimientos quirúrgicos cardiovasculares::procedimientos quirúrgicos vasculares::procedimientos endovasculares
topic Malalties cerebrovasculars - Tractament
Vasos sanguinis - Cirurgia
DISEASES::Nervous System Diseases::Central Nervous System Diseases::Brain Diseases::Cerebrovascular Disorders::Stroke
ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Surgical Procedures, Operative::Cardiovascular Surgical Procedures::Vascular Surgical Procedures::Endovascular Procedures
ENFERMEDADES::enfermedades del sistema nervioso::enfermedades del sistema nervioso central::enfermedades cerebrales::trastornos cerebrovasculares::accidente cerebrovascular
TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::intervenciones quirúrgicas::procedimientos quirúrgicos cardiovasculares::procedimientos quirúrgicos vasculares::procedimientos endovasculares
description Endovascular therapy; Large ischemic core; Large vessel occlusion
publishDate 2023
dc.date.none.fl_str_mv 2023
2024
2024
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/11351/10838
url https://hdl.handle.net/11351/10838
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Journal of Neuroendovascular Therapy;17(11)
https://doi.org/10.5797/jnet.ra.2023-0047
dc.rights.none.fl_str_mv Attribution-NonCommercial-NoDerivatives 4.0 International
http://creativecommons.org/licenses/by-nc-nd/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Attribution-NonCommercial-NoDerivatives 4.0 International
http://creativecommons.org/licenses/by-nc-nd/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv The Japanese Society for Neuroendovascular Therapy
publisher.none.fl_str_mv The Japanese Society for Neuroendovascular Therapy
dc.source.none.fl_str_mv Scientia
reponame:Scientia. Dipòsit d'Informació Digital del Departament de Salut
instname:Departament de Salut de la Generalitat de Catalunya (DS)
instname_str Departament de Salut de la Generalitat de Catalunya (DS)
reponame_str Scientia. Dipòsit d'Informació Digital del Departament de Salut
collection Scientia. Dipòsit d'Informació Digital del Departament de Salut
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15,811543

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