Skip to main content
Erschienen in: Neurosurgical Review 1/2011

01.01.2011 | Review

Recanalization therapy for acute ischemic stroke, part 2: mechanical intra-arterial technologies

verfasst von: Saeed Ansari, Maryam Rahman, Douglas J. McConnell, Michael F. Waters, Brian L. Hoh, J. Mocco

Erschienen in: Neurosurgical Review | Ausgabe 1/2011

Einloggen, um Zugang zu erhalten

Abstract

Stroke therapy has been revolutionized in the past two decades with the widespread implementation of chemical thrombolysis for acute stroke. However, chemical thrombolysis continues to be limited in its efficacy secondary to relatively short time windows and a high associated risk of hemorrhage. In an attempt to minimize hemorrhagic complications and extend the available therapeutic window, mechanical devices designed specifically for thrombus removal, clot obliteration, and arterial revascularization have experienced a recent surge in development and utilization. As such, chemical thrombolytics now represent only one of many options in acute stroke therapy. These new mechanical devices have extended the potential treatment window and now provide alternatives to patients who do not respond to conventional intravenous thrombolysis. This review will discuss the development of these devices, supporting literature, and the individual strengths that each engenders towards a life-saving therapy for stroke.
Literatur
1.
Zurück zum Zitat Kung HC, Hoyert DL, Xu J, Murphy SL (2008) Deaths: final data for 2005. Natl Vital Stat Rep 56:1–120PubMed Kung HC, Hoyert DL, Xu J, Murphy SL (2008) Deaths: final data for 2005. Natl Vital Stat Rep 56:1–120PubMed
2.
Zurück zum Zitat Dobkin B (1995) The economic impact of stroke. Neurology 45:S6–S9PubMed Dobkin B (1995) The economic impact of stroke. Neurology 45:S6–S9PubMed
3.
Zurück zum Zitat Sussman BJ, Fitch TS (1958) Thrombolysis with fibrinolysin in cerebral arterial occlusion. J Am Med Assoc 167:1705–1709PubMed Sussman BJ, Fitch TS (1958) Thrombolysis with fibrinolysin in cerebral arterial occlusion. J Am Med Assoc 167:1705–1709PubMed
4.
Zurück zum Zitat The NINDS t-PA Stroke Study Group (1995) Tissue plasminogen activator for acute ischemic stroke. The National Institute of Neurological Disorders and Stroke rt-PA Stroke Study Group. N Engl J Med 333:1581–1587 The NINDS t-PA Stroke Study Group (1995) Tissue plasminogen activator for acute ischemic stroke. The National Institute of Neurological Disorders and Stroke rt-PA Stroke Study Group. N Engl J Med 333:1581–1587
5.
Zurück zum Zitat Furlan A, Higashida R, Wechsler L, Gent M, Rowley H, Kase C, Pessin M, Ahuja A, Callahan F, Clark WM, Silver F, Rivera F (1999) Intra-arterial prourokinase for acute ischemic stroke. The PROACT II study: a randomized controlled trial. Prolyse in acute cerebral thromboembolism. JAMA 282:2003–2011CrossRefPubMed Furlan A, Higashida R, Wechsler L, Gent M, Rowley H, Kase C, Pessin M, Ahuja A, Callahan F, Clark WM, Silver F, Rivera F (1999) Intra-arterial prourokinase for acute ischemic stroke. The PROACT II study: a randomized controlled trial. Prolyse in acute cerebral thromboembolism. JAMA 282:2003–2011CrossRefPubMed
6.
Zurück zum Zitat Weaver WD, Simes RJ, Betriu A, Grines CL, Zijlstra F, Garcia E, Grinfeld L, Gibbons RJ, Ribeiro EE, DeWood MA, Ribichini F (1997) Comparison of primary coronary angioplasty and intravenous thrombolytic therapy for acute myocardial infarction: a quantitative review. JAMA 278:2093–2098CrossRefPubMed Weaver WD, Simes RJ, Betriu A, Grines CL, Zijlstra F, Garcia E, Grinfeld L, Gibbons RJ, Ribeiro EE, DeWood MA, Ribichini F (1997) Comparison of primary coronary angioplasty and intravenous thrombolytic therapy for acute myocardial infarction: a quantitative review. JAMA 278:2093–2098CrossRefPubMed
7.
Zurück zum Zitat Gobin YP, Starkman S, Duckwiler GR, Grobelny T, Kidwell CS, Jahan R, Pile-Spellman J, Segal A, Vinuela F, Saver JL (2004) MERCI 1: a phase 1 study of mechanical embolus removal in cerebral ischemia. Stroke 35:2848–2854 (a journal of cerebral circulation)CrossRefPubMed Gobin YP, Starkman S, Duckwiler GR, Grobelny T, Kidwell CS, Jahan R, Pile-Spellman J, Segal A, Vinuela F, Saver JL (2004) MERCI 1: a phase 1 study of mechanical embolus removal in cerebral ischemia. Stroke 35:2848–2854 (a journal of cerebral circulation)CrossRefPubMed
8.
Zurück zum Zitat Nogueira RG, Smith WS (2009) Safety and efficacy of endovascular thrombectomy in patients with abnormal hemostasis: pooled analysis of the MERCI and multi MERCI trials. Stroke 40:516–522 (a journal of cerebral circulation)CrossRefPubMed Nogueira RG, Smith WS (2009) Safety and efficacy of endovascular thrombectomy in patients with abnormal hemostasis: pooled analysis of the MERCI and multi MERCI trials. Stroke 40:516–522 (a journal of cerebral circulation)CrossRefPubMed
9.
Zurück zum Zitat Smith WS, Sung G, Saver J, Budzik R, Duckwiler G, Liebeskind DS, Lutsep HL, Rymer MM, Higashida RT, Starkman S, Gobin YP, Frei D, Grobelny T, Hellinger F, Huddle D, Kidwell C, Koroshetz W, Marks M, Nesbit G, Silverman IE (2008) Mechanical thrombectomy for acute ischemic stroke: final results of the multi MERCI trial. Stroke 39:1205–1212 (a journal of cerebral circulation)CrossRefPubMed Smith WS, Sung G, Saver J, Budzik R, Duckwiler G, Liebeskind DS, Lutsep HL, Rymer MM, Higashida RT, Starkman S, Gobin YP, Frei D, Grobelny T, Hellinger F, Huddle D, Kidwell C, Koroshetz W, Marks M, Nesbit G, Silverman IE (2008) Mechanical thrombectomy for acute ischemic stroke: final results of the multi MERCI trial. Stroke 39:1205–1212 (a journal of cerebral circulation)CrossRefPubMed
10.
Zurück zum Zitat Smith WS, Sung G, Starkman S, Saver JL, Kidwell CS, Gobin YP, Lutsep HL, Nesbit GM, Grobelny T, Rymer MM, Silverman IE, Higashida RT, Budzik RF, Marks MP (2005) Safety and efficacy of mechanical embolectomy in acute ischemic stroke: results of the MERCI trial. Stroke 36:1432–1438 (a journal of cerebral circulation)CrossRefPubMed Smith WS, Sung G, Starkman S, Saver JL, Kidwell CS, Gobin YP, Lutsep HL, Nesbit GM, Grobelny T, Rymer MM, Silverman IE, Higashida RT, Budzik RF, Marks MP (2005) Safety and efficacy of mechanical embolectomy in acute ischemic stroke: results of the MERCI trial. Stroke 36:1432–1438 (a journal of cerebral circulation)CrossRefPubMed
11.
Zurück zum Zitat Barnwell SL, Clark WM, Nguyen TT, O’Neill OR, Wynn ML, Coull BM (1994) Safety and efficacy of delayed intraarterial urokinase therapy with mechanical clot disruption for thromboembolic stroke. Ajnr 15:1817–1822PubMed Barnwell SL, Clark WM, Nguyen TT, O’Neill OR, Wynn ML, Coull BM (1994) Safety and efficacy of delayed intraarterial urokinase therapy with mechanical clot disruption for thromboembolic stroke. Ajnr 15:1817–1822PubMed
12.
Zurück zum Zitat Sorimachi T, Fujii Y, Tsuchiya N, Nashimoto T, Harada A, Ito Y, Tanaka R (2004) Recanalization by mechanical embolus disruption during intra-arterial thrombolysis in the carotid territory. Ajnr 25:1391–1402PubMed Sorimachi T, Fujii Y, Tsuchiya N, Nashimoto T, Harada A, Ito Y, Tanaka R (2004) Recanalization by mechanical embolus disruption during intra-arterial thrombolysis in the carotid territory. Ajnr 25:1391–1402PubMed
13.
Zurück zum Zitat Levy EI, Ecker RD, Horowitz MB, Gupta R, Hanel RA, Sauvageau E, Jovin TG, Guterman LR, Hopkins LN (2006) Stent-assisted intracranial recanalization for acute stroke: early results. Neurosurgery 58:458–463, discussion 458–463PubMed Levy EI, Ecker RD, Horowitz MB, Gupta R, Hanel RA, Sauvageau E, Jovin TG, Guterman LR, Hopkins LN (2006) Stent-assisted intracranial recanalization for acute stroke: early results. Neurosurgery 58:458–463, discussion 458–463PubMed
14.
Zurück zum Zitat Nakano S, Iseda T, Yoneyama T, Kawano H, Wakisaka S (2002) Direct percutaneous transluminal angioplasty for acute middle cerebral artery trunk occlusion: an alternative option to intra-arterial thrombolysis. Stroke 33:2872–2876 (a journal of cerebral circulation)CrossRefPubMed Nakano S, Iseda T, Yoneyama T, Kawano H, Wakisaka S (2002) Direct percutaneous transluminal angioplasty for acute middle cerebral artery trunk occlusion: an alternative option to intra-arterial thrombolysis. Stroke 33:2872–2876 (a journal of cerebral circulation)CrossRefPubMed
15.
Zurück zum Zitat del Zoppo GJ, Higashida RT, Furlan AJ, Pessin MS, Rowley HA, Gent M (1998) PROACT: a phase II randomized trial of recombinant pro-urokinase by direct arterial delivery in acute middle cerebral artery stroke. PROACT Investigators. Prolyse in Acute Cerebral Thromboembolism. Stroke 29:4–11 (a journal of cerebral circulation)PubMed del Zoppo GJ, Higashida RT, Furlan AJ, Pessin MS, Rowley HA, Gent M (1998) PROACT: a phase II randomized trial of recombinant pro-urokinase by direct arterial delivery in acute middle cerebral artery stroke. PROACT Investigators. Prolyse in Acute Cerebral Thromboembolism. Stroke 29:4–11 (a journal of cerebral circulation)PubMed
16.
Zurück zum Zitat Mahon BR, Nesbit GM, Barnwell SL, Clark W, Marotta TR, Weill A, Teal PA, Qureshi AI (2003) North American clinical experience with the EKOS MicroLysUS infusion catheter for the treatment of embolic stroke. Ajnr 24:534–538PubMed Mahon BR, Nesbit GM, Barnwell SL, Clark W, Marotta TR, Weill A, Teal PA, Qureshi AI (2003) North American clinical experience with the EKOS MicroLysUS infusion catheter for the treatment of embolic stroke. Ajnr 24:534–538PubMed
17.
Zurück zum Zitat Standard SC, Chavis TD, Wakhloo AK, Ahuja A, Guterman LR, Hopkins LN (1994) Retrieval of a Guglielmi detachable coil after unraveling and fracture: case report and experimental results. Neurosurgery 35:994–998, discussion 999CrossRefPubMed Standard SC, Chavis TD, Wakhloo AK, Ahuja A, Guterman LR, Hopkins LN (1994) Retrieval of a Guglielmi detachable coil after unraveling and fracture: case report and experimental results. Neurosurgery 35:994–998, discussion 999CrossRefPubMed
18.
Zurück zum Zitat Watanabe A, Hirano K, Mizukawa K, Kamada M, Okamura H, Suzuki Y, Ishii R (1995) Retrieval of a migrated detachable coil—case report. Neurol Med Chir (Tokyo) 35:247–250CrossRef Watanabe A, Hirano K, Mizukawa K, Kamada M, Okamura H, Suzuki Y, Ishii R (1995) Retrieval of a migrated detachable coil—case report. Neurol Med Chir (Tokyo) 35:247–250CrossRef
19.
Zurück zum Zitat Chopko BW, Kerber C, Wong W, Georgy B (2000) Transcatheter snare removal of acute middle cerebral artery thromboembolism: technical case report. Neurosurgery 46:1529–1531CrossRefPubMed Chopko BW, Kerber C, Wong W, Georgy B (2000) Transcatheter snare removal of acute middle cerebral artery thromboembolism: technical case report. Neurosurgery 46:1529–1531CrossRefPubMed
20.
Zurück zum Zitat Nesbit GM, Luh G, Tien R, Barnwell SL (2004) New and future endovascular treatment strategies for acute ischemic stroke. J Vasc Interv Radiol 15:S103–S110PubMed Nesbit GM, Luh G, Tien R, Barnwell SL (2004) New and future endovascular treatment strategies for acute ischemic stroke. J Vasc Interv Radiol 15:S103–S110PubMed
21.
Zurück zum Zitat Smith WS (2006) Safety of mechanical thrombectomy and intravenous tissue plasminogen activator in acute ischemic stroke. Results of the multi Mechanical Embolus Removal in Cerebral Ischemia (MERCI) trial, part I. Ajnr 27:1177–1182PubMed Smith WS (2006) Safety of mechanical thrombectomy and intravenous tissue plasminogen activator in acute ischemic stroke. Results of the multi Mechanical Embolus Removal in Cerebral Ischemia (MERCI) trial, part I. Ajnr 27:1177–1182PubMed
22.
Zurück zum Zitat Devlin TG, Baxter BW, Feintuch TA, Desbiens NA (2007) The merci retrieval system for acute stroke: the Southeast Regional Stroke Center experience. Neurocrit Care 6:11–21CrossRefPubMed Devlin TG, Baxter BW, Feintuch TA, Desbiens NA (2007) The merci retrieval system for acute stroke: the Southeast Regional Stroke Center experience. Neurocrit Care 6:11–21CrossRefPubMed
23.
Zurück zum Zitat Nogueira RG, Schwamm LH, Hirsch JA (2009) Endovascular approaches to acute stroke, part 1: drugs, devices, and data. Ajnr 30:649–661CrossRefPubMed Nogueira RG, Schwamm LH, Hirsch JA (2009) Endovascular approaches to acute stroke, part 1: drugs, devices, and data. Ajnr 30:649–661CrossRefPubMed
24.
Zurück zum Zitat Henkes H, Reinartz J, Lowens S, Miloslavski E, Roth C, Reith W, Kuhne D (2006) A device for fast mechanical clot retrieval from intracranial arteries (Phenox clot retriever). Neurocrit Care 5:134–140CrossRefPubMed Henkes H, Reinartz J, Lowens S, Miloslavski E, Roth C, Reith W, Kuhne D (2006) A device for fast mechanical clot retrieval from intracranial arteries (Phenox clot retriever). Neurocrit Care 5:134–140CrossRefPubMed
25.
Zurück zum Zitat Liebig T, Reinartz J, Guethe T, Roth C, Miloslavski E (2008) Early clinical experiences with a new thrombectomy device for the treatment of ischemic stroke (abstract). Stroke 39:608 (a journal of cerebral circulation) Liebig T, Reinartz J, Guethe T, Roth C, Miloslavski E (2008) Early clinical experiences with a new thrombectomy device for the treatment of ischemic stroke (abstract). Stroke 39:608 (a journal of cerebral circulation)
26.
Zurück zum Zitat Mayer TE, Hamann GF, Brueckmann HJ (2002) Treatment of basilar artery embolism with a mechanical extraction device: necessity of flow reversal. Stroke 33:2232–2235 (a journal of cerebral circulation)CrossRefPubMed Mayer TE, Hamann GF, Brueckmann HJ (2002) Treatment of basilar artery embolism with a mechanical extraction device: necessity of flow reversal. Stroke 33:2232–2235 (a journal of cerebral circulation)CrossRefPubMed
27.
Zurück zum Zitat Chapot R (2005) First experience with the catch, a new device for cerebral thrombectomy. Interv Neuroradiol 11(suppl 2):58 Chapot R (2005) First experience with the catch, a new device for cerebral thrombectomy. Interv Neuroradiol 11(suppl 2):58
28.
Zurück zum Zitat Schumacher HC, Meyers PM, Yavagal DR, Harel NY, Elkind MS, Mohr JP, Pile-Spellman J (2003) Endovascular mechanical thrombectomy of an occluded superior division branch of the left MCA for acute cardioembolic stroke. Cardiovasc Interv Radiol 26:305–308CrossRef Schumacher HC, Meyers PM, Yavagal DR, Harel NY, Elkind MS, Mohr JP, Pile-Spellman J (2003) Endovascular mechanical thrombectomy of an occluded superior division branch of the left MCA for acute cardioembolic stroke. Cardiovasc Interv Radiol 26:305–308CrossRef
29.
Zurück zum Zitat Kerber CW, Wanke I, Bernard J Jr, Woo HH, Liu MW, Nelson PK (2007) Rapid intracranial clot removal with a new device: the alligator retriever. Ajnr 28:860–863PubMed Kerber CW, Wanke I, Bernard J Jr, Woo HH, Liu MW, Nelson PK (2007) Rapid intracranial clot removal with a new device: the alligator retriever. Ajnr 28:860–863PubMed
30.
Zurück zum Zitat Bergui M, Stura G, Daniele D, Cerrato P, Berardino M, Bradac GB (2006) Mechanical thrombolysis in ischemic stroke attributable to basilar artery occlusion as first-line treatment. Stroke 37:145–150 (a journal of cerebral circulation)CrossRefPubMed Bergui M, Stura G, Daniele D, Cerrato P, Berardino M, Bradac GB (2006) Mechanical thrombolysis in ischemic stroke attributable to basilar artery occlusion as first-line treatment. Stroke 37:145–150 (a journal of cerebral circulation)CrossRefPubMed
31.
Zurück zum Zitat Clark WM, Buckley LA, Nesbit GM, Lutsep HL, Barnwell SL, Doherty AJ, Gregory KW (2000) Intraarterial laser thrombolysis therapy for clinical stroke: a feasibility study (abstract). Stroke 31:307 (a journal of cerebral circulation) Clark WM, Buckley LA, Nesbit GM, Lutsep HL, Barnwell SL, Doherty AJ, Gregory KW (2000) Intraarterial laser thrombolysis therapy for clinical stroke: a feasibility study (abstract). Stroke 31:307 (a journal of cerebral circulation)
32.
Zurück zum Zitat Berlis A, Lutsep H, Barnwell S, Norbash A, Wechsler L, Jungreis CA, Woolfenden A, Redekop G, Hartmann M, Schumacher M (2004) Mechanical thrombolysis in acute ischemic stroke with endovascular photoacoustic recanalization. Stroke 35:1112–1116 (a journal of cerebral circulation)CrossRefPubMed Berlis A, Lutsep H, Barnwell S, Norbash A, Wechsler L, Jungreis CA, Woolfenden A, Redekop G, Hartmann M, Schumacher M (2004) Mechanical thrombolysis in acute ischemic stroke with endovascular photoacoustic recanalization. Stroke 35:1112–1116 (a journal of cerebral circulation)CrossRefPubMed
33.
Zurück zum Zitat Lutsep HL, Clark WM, Nesbit GM, Kuether TA, Barnwell SL (2002) Intraarterial suction thrombectomy in acute stroke. Ajnr 23:783–786PubMed Lutsep HL, Clark WM, Nesbit GM, Kuether TA, Barnwell SL (2002) Intraarterial suction thrombectomy in acute stroke. Ajnr 23:783–786PubMed
34.
Zurück zum Zitat Bellon RJ, Putman CM, Budzik RF, Pergolizzi RS, Reinking GF, Norbash AM (2001) Rheolytic thrombectomy of the occluded internal carotid artery in the setting of acute ischemic stroke. Ajnr 22:526–530PubMed Bellon RJ, Putman CM, Budzik RF, Pergolizzi RS, Reinking GF, Norbash AM (2001) Rheolytic thrombectomy of the occluded internal carotid artery in the setting of acute ischemic stroke. Ajnr 22:526–530PubMed
35.
Zurück zum Zitat Molina CA, Saver JL (2005) Extending reperfusion therapy for acute ischemic stroke: emerging pharmacological, mechanical, and imaging strategies. Stroke 36:2311–2320 (a journal of cerebral circulation)CrossRefPubMed Molina CA, Saver JL (2005) Extending reperfusion therapy for acute ischemic stroke: emerging pharmacological, mechanical, and imaging strategies. Stroke 36:2311–2320 (a journal of cerebral circulation)CrossRefPubMed
36.
Zurück zum Zitat Lee MS, Singh V, Wilentz JR, Makkar RR (2004) AngioJet thrombectomy. J Invasive Cardiol 16:587–591PubMed Lee MS, Singh V, Wilentz JR, Makkar RR (2004) AngioJet thrombectomy. J Invasive Cardiol 16:587–591PubMed
38.
Zurück zum Zitat Bose A, Henkes H, Alfke K, Reith W, Mayer TE, Berlis A, Branca V, Sit SP (2008) The Penumbra system: a mechanical device for the treatment of acute stroke due to thromboembolism. Ajnr 29:1409–1413CrossRefPubMed Bose A, Henkes H, Alfke K, Reith W, Mayer TE, Berlis A, Branca V, Sit SP (2008) The Penumbra system: a mechanical device for the treatment of acute stroke due to thromboembolism. Ajnr 29:1409–1413CrossRefPubMed
39.
Zurück zum Zitat Penumbra Pivotal Stroke Trial Investigators (2009) The Penumbra Pivotal stroke trial: safety and effectiveness of a new generation of mechanical devices for clot removal in intracranial large vessel occlusive disease. Stroke 40:2761–2768 (a journal of cerebral circulation)CrossRef Penumbra Pivotal Stroke Trial Investigators (2009) The Penumbra Pivotal stroke trial: safety and effectiveness of a new generation of mechanical devices for clot removal in intracranial large vessel occlusive disease. Stroke 40:2761–2768 (a journal of cerebral circulation)CrossRef
40.
Zurück zum Zitat Tarr R, Alfke K, Stingele R, Jansen O, Frei D, Bellon R, Madison M, Struffert T, Dorfler A, Grunwald IQ, Reith W, Haass A (2009) Initial post-market experience of the Penumbra System: revascularization of large vessel occlusion in acute ischemic stroke in the United States and Europe [abstract]. Stroke journal cerebral circulation 40:48 Tarr R, Alfke K, Stingele R, Jansen O, Frei D, Bellon R, Madison M, Struffert T, Dorfler A, Grunwald IQ, Reith W, Haass A (2009) Initial post-market experience of the Penumbra System: revascularization of large vessel occlusion in acute ischemic stroke in the United States and Europe [abstract]. Stroke journal cerebral circulation 40:48
41.
Zurück zum Zitat Block PC, Baughman KL, Pasternak RC, Fallon JT (1980) Transluminal angioplasty: correlation of morphologic and angiographic findings in an experimental model. Circulation 61:778–785PubMed Block PC, Baughman KL, Pasternak RC, Fallon JT (1980) Transluminal angioplasty: correlation of morphologic and angiographic findings in an experimental model. Circulation 61:778–785PubMed
42.
Zurück zum Zitat Castaneda-Zuniga WR, Formanek A, Tadavarthy M, Vlodaver Z, Edwards JE, Zollikofer C, Amplatz K (1980) The mechanism of balloon angioplasty. Radiology 135:565–571PubMed Castaneda-Zuniga WR, Formanek A, Tadavarthy M, Vlodaver Z, Edwards JE, Zollikofer C, Amplatz K (1980) The mechanism of balloon angioplasty. Radiology 135:565–571PubMed
43.
Zurück zum Zitat Dotter CT, Judkins MP (1964) Transluminal treatment of arteriosclerotic obstruction. Description of a new technic and a preliminary report of its application. Circulation 30:654–670PubMed Dotter CT, Judkins MP (1964) Transluminal treatment of arteriosclerotic obstruction. Description of a new technic and a preliminary report of its application. Circulation 30:654–670PubMed
44.
Zurück zum Zitat Higashida RT, Tsai FY, Halbach VV, Dowd CF, Hieshima GB (1993) Cerebral percutaneous transluminal angioplasty. Heart Dis Stroke 2:497–502PubMed Higashida RT, Tsai FY, Halbach VV, Dowd CF, Hieshima GB (1993) Cerebral percutaneous transluminal angioplasty. Heart Dis Stroke 2:497–502PubMed
45.
Zurück zum Zitat Nakano S, Yokogami K, Ohta H, Yano T, Ohnishi T (1998) Direct percutaneous transluminal angioplasty for acute middle cerebral artery occlusion. Ajnr 19:767–772PubMed Nakano S, Yokogami K, Ohta H, Yano T, Ohnishi T (1998) Direct percutaneous transluminal angioplasty for acute middle cerebral artery occlusion. Ajnr 19:767–772PubMed
46.
Zurück zum Zitat Qureshi AI, Siddiqui AM, Suri MF, Kim SH, Ali Z, Yahia AM, Lopes DK, Boulos AS, Ringer AJ, Saad M, Guterman LR, Hopkins LN (2002) Aggressive mechanical clot disruption and low-dose intra-arterial third-generation thrombolytic agent for ischemic stroke: a prospective study. Neurosurgery 51:1319–1327, discussion 1327–1319CrossRefPubMed Qureshi AI, Siddiqui AM, Suri MF, Kim SH, Ali Z, Yahia AM, Lopes DK, Boulos AS, Ringer AJ, Saad M, Guterman LR, Hopkins LN (2002) Aggressive mechanical clot disruption and low-dose intra-arterial third-generation thrombolytic agent for ischemic stroke: a prospective study. Neurosurgery 51:1319–1327, discussion 1327–1319CrossRefPubMed
47.
Zurück zum Zitat Yoneyama T, Nakano S, Kawano H, Iseda T, Ikeda T, Goya T, Wakisaka S (2002) Combined direct percutaneous transluminal angioplasty and low-dose native tissue plasminogen activator therapy for acute embolic middle cerebral artery trunk occlusion. Ajnr 23:277–281PubMed Yoneyama T, Nakano S, Kawano H, Iseda T, Ikeda T, Goya T, Wakisaka S (2002) Combined direct percutaneous transluminal angioplasty and low-dose native tissue plasminogen activator therapy for acute embolic middle cerebral artery trunk occlusion. Ajnr 23:277–281PubMed
48.
Zurück zum Zitat Abou-Chebl A, Bajzer CT, Krieger DW, Furlan AJ, Yadav JS (2005) Multimodal therapy for the treatment of severe ischemic stroke combining GPIIb/IIIa antagonists and angioplasty after failure of thrombolysis. Stroke 36:2286–2288 (a journal of cerebral circulation)CrossRefPubMed Abou-Chebl A, Bajzer CT, Krieger DW, Furlan AJ, Yadav JS (2005) Multimodal therapy for the treatment of severe ischemic stroke combining GPIIb/IIIa antagonists and angioplasty after failure of thrombolysis. Stroke 36:2286–2288 (a journal of cerebral circulation)CrossRefPubMed
49.
Zurück zum Zitat Ueda T, Sakaki S, Nochide I, Kumon Y, Kohno K, Ohta S (1998) Angioplasty after intra-arterial thrombolysis for acute occlusion of intracranial arteries. Stroke 29:2568–2574 (a journal of cerebral circulation)PubMed Ueda T, Sakaki S, Nochide I, Kumon Y, Kohno K, Ohta S (1998) Angioplasty after intra-arterial thrombolysis for acute occlusion of intracranial arteries. Stroke 29:2568–2574 (a journal of cerebral circulation)PubMed
50.
Zurück zum Zitat Qureshi AI, Siddiqui AM, Kim SH, Hanel RA, Xavier AR, Kirmani JF, Suri MF, Boulos AS, Hopkins LN (2004) Reocclusion of recanalized arteries during intra-arterial thrombolysis for acute ischemic stroke. Ajnr 25:322–328PubMed Qureshi AI, Siddiqui AM, Kim SH, Hanel RA, Xavier AR, Kirmani JF, Suri MF, Boulos AS, Hopkins LN (2004) Reocclusion of recanalized arteries during intra-arterial thrombolysis for acute ischemic stroke. Ajnr 25:322–328PubMed
51.
Zurück zum Zitat Horowitz MB, Purdy PD (2000) The use of stents in the management of neurovascular disease: a review of historical and present status. Neurosurgery 46:1335–1342, discussion 1342–1333CrossRefPubMed Horowitz MB, Purdy PD (2000) The use of stents in the management of neurovascular disease: a review of historical and present status. Neurosurgery 46:1335–1342, discussion 1342–1333CrossRefPubMed
52.
Zurück zum Zitat Levy EI, Ecker RD, Hanel RA, Sauvageau E, Wehman JC, Guterman LR, Hopkins LN (2006) Acute M2 bifurcation stenting for cerebral infarction: lessons learned from the heart: technical case report. Neurosurgery 58:E588, discussion E588PubMed Levy EI, Ecker RD, Hanel RA, Sauvageau E, Wehman JC, Guterman LR, Hopkins LN (2006) Acute M2 bifurcation stenting for cerebral infarction: lessons learned from the heart: technical case report. Neurosurgery 58:E588, discussion E588PubMed
53.
Zurück zum Zitat Fitzsimmons BF, Becske T, Nelson PK (2006) Rapid stent-supported revascularization in acute ischemic stroke. Ajnr 27:1132–1134PubMed Fitzsimmons BF, Becske T, Nelson PK (2006) Rapid stent-supported revascularization in acute ischemic stroke. Ajnr 27:1132–1134PubMed
54.
Zurück zum Zitat Levy EI, Mehta R, Gupta R, Hanel RA, Chamczuk AJ, Fiorella D, Woo HH, Albuquerque FC, Jovin TG, Horowitz MB, Hopkins LN (2007) Self-expanding stents for recanalization of acute cerebrovascular occlusions. Ajnr 28:816–822PubMed Levy EI, Mehta R, Gupta R, Hanel RA, Chamczuk AJ, Fiorella D, Woo HH, Albuquerque FC, Jovin TG, Horowitz MB, Hopkins LN (2007) Self-expanding stents for recanalization of acute cerebrovascular occlusions. Ajnr 28:816–822PubMed
55.
Zurück zum Zitat Levy EI, Siddiqui AH, Crumlish A, Snyder KV, Hauck EF, Fiorella DJ, Hopkins LN, Mocco J (2009) First food and drug administration-approved prospective trial of primary intracranial stenting for acute stroke: SARIS (stent-assisted recanalization in acute ischemic stroke). Stroke 40:3552–3556 (a journal of cerebral circulation)CrossRefPubMed Levy EI, Siddiqui AH, Crumlish A, Snyder KV, Hauck EF, Fiorella DJ, Hopkins LN, Mocco J (2009) First food and drug administration-approved prospective trial of primary intracranial stenting for acute stroke: SARIS (stent-assisted recanalization in acute ischemic stroke). Stroke 40:3552–3556 (a journal of cerebral circulation)CrossRefPubMed
56.
Zurück zum Zitat Mocco J, Hanel RA, Sharma J, Hauck EF, Snyder KV, Natarajan SK, Linfante I, Siddiqui AH, Hopkins LN, Boulos AS, Levy EI (2009) Use of a vascular reconstruction device to salvage acute ischemic occlusions refractory to traditional endovascular recanalization methods. J Neurosurg 2(3):557–562 Mocco J, Hanel RA, Sharma J, Hauck EF, Snyder KV, Natarajan SK, Linfante I, Siddiqui AH, Hopkins LN, Boulos AS, Levy EI (2009) Use of a vascular reconstruction device to salvage acute ischemic occlusions refractory to traditional endovascular recanalization methods. J Neurosurg 2(3):557–562
57.
Zurück zum Zitat SSYLVIA Study Investigators (2004) Stenting of symptomatic atherosclerotic lesions in the vertebral or intracranial arteries (SSYLVIA): study results. Stroke 35:1388–1392 (a journal of cerebral circulation)CrossRef SSYLVIA Study Investigators (2004) Stenting of symptomatic atherosclerotic lesions in the vertebral or intracranial arteries (SSYLVIA): study results. Stroke 35:1388–1392 (a journal of cerebral circulation)CrossRef
58.
Zurück zum Zitat Schumacher HC, Khaw AV, Meyers PM, Gupta R, Higashida RT (2004) Intracranial angioplasty and stent placement for cerebral atherosclerosis. J Vasc Interv Radiol 15:S123–S132PubMed Schumacher HC, Khaw AV, Meyers PM, Gupta R, Higashida RT (2004) Intracranial angioplasty and stent placement for cerebral atherosclerosis. J Vasc Interv Radiol 15:S123–S132PubMed
59.
Zurück zum Zitat Hauck EF, Mocco J, Snyder KV, Levy EI (2009) Temporary endovascular bypass: a novel treatment for acute stroke. Ajnr 30:1532–1533CrossRefPubMed Hauck EF, Mocco J, Snyder KV, Levy EI (2009) Temporary endovascular bypass: a novel treatment for acute stroke. Ajnr 30:1532–1533CrossRefPubMed
60.
Zurück zum Zitat Kelly ME, Furlan AJ, Fiorella D (2008) Recanalization of an acute middle cerebral artery occlusion using a self-expanding, reconstrainable, intracranial microstent as a temporary endovascular bypass. Stroke 39:1770–1773 (a journal of cerebral circulation)CrossRefPubMed Kelly ME, Furlan AJ, Fiorella D (2008) Recanalization of an acute middle cerebral artery occlusion using a self-expanding, reconstrainable, intracranial microstent as a temporary endovascular bypass. Stroke 39:1770–1773 (a journal of cerebral circulation)CrossRefPubMed
61.
Zurück zum Zitat Henkes H, Liebig T, Miloslavski E, Guethe T, Schmid E, Wiethoelter H (2009) Endovascular acute ischemic stroke treatment using the self-expanding and fully retrievable Solitaire stent. Stroke 40:144 (a journal of cerebral circulation) Henkes H, Liebig T, Miloslavski E, Guethe T, Schmid E, Wiethoelter H (2009) Endovascular acute ischemic stroke treatment using the self-expanding and fully retrievable Solitaire stent. Stroke 40:144 (a journal of cerebral circulation)
62.
Zurück zum Zitat Jahan R (2008) A novel, self expanding, fully retractable mechanical thromboembolectomy device for treatment of acute ischemic stroke. In: 5th Annual Meeting of the Society of NeuroInterventional Surgery (SNIS). Lake Tahoe, California Jahan R (2008) A novel, self expanding, fully retractable mechanical thromboembolectomy device for treatment of acute ischemic stroke. In: 5th Annual Meeting of the Society of NeuroInterventional Surgery (SNIS). Lake Tahoe, California
63.
Zurück zum Zitat The NINDS t-PA Stroke Study Group (1997) Generalized efficacy of t-PA for acute stroke. Subgroup analysis of the NINDS t-PA Stroke Trial. Stroke 28:2119–2125 (a journal of cerebral circulation) The NINDS t-PA Stroke Study Group (1997) Generalized efficacy of t-PA for acute stroke. Subgroup analysis of the NINDS t-PA Stroke Trial. Stroke 28:2119–2125 (a journal of cerebral circulation)
64.
Zurück zum Zitat Josephson SA, Saver JL, Smith WS (2009) Comparison of mechanical embolectomy and intraarterial thrombolysis in acute ischemic stroke within the MCA: MERCI and multi MERCI compared to PROACT II. Neurocrit Care 10:43–49CrossRefPubMed Josephson SA, Saver JL, Smith WS (2009) Comparison of mechanical embolectomy and intraarterial thrombolysis in acute ischemic stroke within the MCA: MERCI and multi MERCI compared to PROACT II. Neurocrit Care 10:43–49CrossRefPubMed
65.
Zurück zum Zitat Rha JH, Saver JL (2007) The impact of recanalization on ischemic stroke outcome: a meta-analysis. Stroke 38:967–973 (a journal of cerebral circulation)CrossRefPubMed Rha JH, Saver JL (2007) The impact of recanalization on ischemic stroke outcome: a meta-analysis. Stroke 38:967–973 (a journal of cerebral circulation)CrossRefPubMed
66.
Zurück zum Zitat Patil CG, Long EF, Lansberg MG (2009) Cost-effectiveness analysis of mechanical thrombectomy in acute ischemic stroke. J Neurosurg 110:508–513CrossRefPubMed Patil CG, Long EF, Lansberg MG (2009) Cost-effectiveness analysis of mechanical thrombectomy in acute ischemic stroke. J Neurosurg 110:508–513CrossRefPubMed
67.
Zurück zum Zitat Khatri P, Hill MD, Palesch YY, Spilker J, Jauch EC, Carrozzella JA, Demchuk AM, Martin R, Mauldin P, Dillon C, Ryckborst KJ, Janis S, Tomsick TA, Broderick JP (2008) Methodology of the interventional management of stroke III trial. Int J Stroke 3:130–137CrossRefPubMed Khatri P, Hill MD, Palesch YY, Spilker J, Jauch EC, Carrozzella JA, Demchuk AM, Martin R, Mauldin P, Dillon C, Ryckborst KJ, Janis S, Tomsick TA, Broderick JP (2008) Methodology of the interventional management of stroke III trial. Int J Stroke 3:130–137CrossRefPubMed
68.
Zurück zum Zitat Becker KJ, Brott TG (2005) Approval of the MERCI clot retriever: a critical view. Stroke 36:400–403 (a journal of cerebral circulation)CrossRefPubMed Becker KJ, Brott TG (2005) Approval of the MERCI clot retriever: a critical view. Stroke 36:400–403 (a journal of cerebral circulation)CrossRefPubMed
70.
Zurück zum Zitat (2008) Major ongoing stroke trials. Stroke 39:e51–e60 (a journal of cerebral circulation) (2008) Major ongoing stroke trials. Stroke 39:e51–e60 (a journal of cerebral circulation)
71.
Zurück zum Zitat Molyneux A, Rothwell P (2009) Pragmatic ischaemic stroke thrombectomy evaluation (PISTE): mechanical thrombectomy or revascularisation for acute ischaemic stroke—plans for a prospective randomised trial [abstract]. In: Proceedings of the 29th ABC-WIN Seminar. Val d'Isere, France Molyneux A, Rothwell P (2009) Pragmatic ischaemic stroke thrombectomy evaluation (PISTE): mechanical thrombectomy or revascularisation for acute ischaemic stroke—plans for a prospective randomised trial [abstract]. In: Proceedings of the 29th ABC-WIN Seminar. Val d'Isere, France
72.
Zurück zum Zitat Barber PA, Demchuk AM, Zhang J, Buchan AM (2000) Validity and reliability of a quantitative computed tomography score in predicting outcome of hyperacute stroke before thrombolytic therapy. ASPECTS study group. Alberta Stroke Programme Early CT Score. Lancet 355:1670–1674CrossRefPubMed Barber PA, Demchuk AM, Zhang J, Buchan AM (2000) Validity and reliability of a quantitative computed tomography score in predicting outcome of hyperacute stroke before thrombolytic therapy. ASPECTS study group. Alberta Stroke Programme Early CT Score. Lancet 355:1670–1674CrossRefPubMed
Metadaten
Titel
Recanalization therapy for acute ischemic stroke, part 2: mechanical intra-arterial technologies
verfasst von
Saeed Ansari
Maryam Rahman
Douglas J. McConnell
Michael F. Waters
Brian L. Hoh
J. Mocco
Publikationsdatum
01.01.2011
Verlag
Springer-Verlag
Erschienen in
Neurosurgical Review / Ausgabe 1/2011
Print ISSN: 0344-5607
Elektronische ISSN: 1437-2320
DOI
https://doi.org/10.1007/s10143-010-0294-1

Weitere Artikel der Ausgabe 1/2011

Neurosurgical Review 1/2011 Zur Ausgabe

Häusliche Gewalt in der orthopädischen Notaufnahme oft nicht erkannt

28.05.2024 Häusliche Gewalt Nachrichten

In der Notaufnahme wird die Chance, Opfer von häuslicher Gewalt zu identifizieren, von Orthopäden und Orthopädinnen offenbar zu wenig genutzt. Darauf deuten die Ergebnisse einer Fragebogenstudie an der Sahlgrenska-Universität in Schweden hin.

Fehlerkultur in der Medizin – Offenheit zählt!

28.05.2024 Fehlerkultur Podcast

Darüber reden und aus Fehlern lernen, sollte das Motto in der Medizin lauten. Und zwar nicht nur im Sinne der Patientensicherheit. Eine negative Fehlerkultur kann auch die Behandelnden ernsthaft krank machen, warnt Prof. Dr. Reinhard Strametz. Ein Plädoyer und ein Leitfaden für den offenen Umgang mit kritischen Ereignissen in Medizin und Pflege.

Mehr Frauen im OP – weniger postoperative Komplikationen

21.05.2024 Allgemeine Chirurgie Nachrichten

Ein Frauenanteil von mindestens einem Drittel im ärztlichen Op.-Team war in einer großen retrospektiven Studie aus Kanada mit einer signifikanten Reduktion der postoperativen Morbidität assoziiert.

TAVI versus Klappenchirurgie: Neue Vergleichsstudie sorgt für Erstaunen

21.05.2024 TAVI Nachrichten

Bei schwerer Aortenstenose und obstruktiver KHK empfehlen die Leitlinien derzeit eine chirurgische Kombi-Behandlung aus Klappenersatz plus Bypass-OP. Diese Empfehlung wird allerdings jetzt durch eine aktuelle Studie infrage gestellt – mit überraschender Deutlichkeit.

Update Chirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

S3-Leitlinie „Diagnostik und Therapie des Karpaltunnelsyndroms“

Karpaltunnelsyndrom BDC Leitlinien Webinare
CME: 2 Punkte

Das Karpaltunnelsyndrom ist die häufigste Kompressionsneuropathie peripherer Nerven. Obwohl die Anamnese mit dem nächtlichen Einschlafen der Hand (Brachialgia parästhetica nocturna) sehr typisch ist, ist eine klinisch-neurologische Untersuchung und Elektroneurografie in manchen Fällen auch eine Neurosonografie erforderlich. Im Anfangsstadium sind konservative Maßnahmen (Handgelenksschiene, Ergotherapie) empfehlenswert. Bei nicht Ansprechen der konservativen Therapie oder Auftreten von neurologischen Ausfällen ist eine Dekompression des N. medianus am Karpaltunnel indiziert.

Prof. Dr. med. Gregor Antoniadis
Berufsverband der Deutschen Chirurgie e.V.

S2e-Leitlinie „Distale Radiusfraktur“

Radiusfraktur BDC Leitlinien Webinare
CME: 2 Punkte

Das Webinar beschäftigt sich mit Fragen und Antworten zu Diagnostik und Klassifikation sowie Möglichkeiten des Ausschlusses von Zusatzverletzungen. Die Referenten erläutern, welche Frakturen konservativ behandelt werden können und wie. Das Webinar beantwortet die Frage nach aktuellen operativen Therapiekonzepten: Welcher Zugang, welches Osteosynthesematerial? Auf was muss bei der Nachbehandlung der distalen Radiusfraktur geachtet werden?

PD Dr. med. Oliver Pieske
Dr. med. Benjamin Meyknecht
Berufsverband der Deutschen Chirurgie e.V.

S1-Leitlinie „Empfehlungen zur Therapie der akuten Appendizitis bei Erwachsenen“

Appendizitis BDC Leitlinien Webinare
CME: 2 Punkte

Inhalte des Webinars zur S1-Leitlinie „Empfehlungen zur Therapie der akuten Appendizitis bei Erwachsenen“ sind die Darstellung des Projektes und des Erstellungswegs zur S1-Leitlinie, die Erläuterung der klinischen Relevanz der Klassifikation EAES 2015, die wissenschaftliche Begründung der wichtigsten Empfehlungen und die Darstellung stadiengerechter Therapieoptionen.

Dr. med. Mihailo Andric
Berufsverband der Deutschen Chirurgie e.V.