Expanding indications for endovascular thrombectomy-how to leave no patient behind.

Sporns, Peter B; Fiehler, Jens; Ospel, Johanna; Safouris, Apostolos; Hanning, Uta; Fischer, Urs; Goyal, Mayank; McTaggart, Ryan; Brehm, Alex; Psychogios, Marios (2021). Expanding indications for endovascular thrombectomy-how to leave no patient behind. Therapeutic advances in neurological disorders, 14, p. 1756286421998905. Sage 10.1177/1756286421998905

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Endovascular thrombectomy (EVT) has become standard of care for large vessel occlusion strokes but current guidelines exclude a large proportion of patients from this highly effective treatment. This review therefore focuses on expanding indications for EVT in several borderline indications such as patients in the extended time window, patients with extensive signs of infarction on admission imaging, elderly patients and patients with pre-existing deficits. It also discusses the current knowledge on intravenous thrombolysis as an adjunct to EVT and EVT as primary therapy for distal vessel occlusions, for tandem occlusions, for basilar artery occlusions and in pediatric patients. We provide clear recommendations based on current guidelines and further literature.

Item Type:

Journal Article (Review Article)

Division/Institute:

04 Faculty of Medicine > Department of Head Organs and Neurology (DKNS) > Clinic of Neurology

UniBE Contributor:

Fischer, Urs

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1756-2856

Publisher:

Sage

Language:

English

Submitter:

Chantal Kottler

Date Deposited:

06 Jul 2021 17:28

Last Modified:

11 Jul 2021 03:12

Publisher DOI:

10.1177/1756286421998905

PubMed ID:

33796144

Uncontrolled Keywords:

endovascular thrombectomy ischemic stroke recanalization therapy

BORIS DOI:

10.48350/157375

URI:

https://boris.unibe.ch/id/eprint/157375

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