Expanding indications for endovascular thrombectomy-how to leave no patient behind
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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.
In: THER ADV NEUROL DISO, Vol. 14, 1756286421998905, 2021.Research output: SCORING: Contribution to journal › SCORING: Review article › Research
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TY - JOUR
T1 - Expanding indications for endovascular thrombectomy-how to leave no patient behind
AU - Sporns, Peter B
AU - Fiehler, Jens
AU - Ospel, Johanna
AU - Safouris, Apostolos
AU - Hanning, Uta
AU - Fischer, Urs
AU - Goyal, Mayank
AU - McTaggart, Ryan
AU - Brehm, Alex
AU - Psychogios, Marios
N1 - © The Author(s), 2021.
PY - 2021
Y1 - 2021
N2 - 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.
AB - 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.
U2 - 10.1177/1756286421998905
DO - 10.1177/1756286421998905
M3 - SCORING: Review article
C2 - 33796144
VL - 14
JO - THER ADV NEUROL DISO
JF - THER ADV NEUROL DISO
SN - 1756-2856
M1 - 1756286421998905
ER -
