Stroke Care and Mechanical Thrombectomy in Developing Countries

  • Jorge A. RoaEmail author
  • Sheila C. Ouriques Martins
  • Francisco Jose Mont’Alverne


Stroke is the second cause of death in most developing countries, and approximately 10% of cases are people younger than 45 years old. Several studies have shown that stroke units, timely use of intravenous tissue plasminogen activator (IV-tPA), and mechanical thrombectomy (MT) for selected patients are not only indicated but also cost-effective in the treatment of acute ischemic stroke (AIS). Although most studies have been conducted in developed countries, over 80% of all stroke deaths in the world occur in developing countries. In this chapter, we provide an assessment of the status of stroke care and the use of MT to treat AIS in low- and medium-income countries.


Mechanical thrombectomy Endovascular treatment Acute ischemic stroke South America Eastern Europe Africa Asia Low-income countries Developing countries 


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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Jorge A. Roa
    • 1
    Email author
  • Sheila C. Ouriques Martins
    • 2
  • Francisco Jose Mont’Alverne
    • 3
  1. 1.Department of Neurology and NeurosurgeryUniversity of Iowa Hospitals and ClinicsIowa CityUSA
  2. 2.Department of NeurologyHospital de Clinicas de Porto AlegrePorto AlegreBrazil
  3. 3.Department of Interventional NeuroradiologyGeneral Hospital of FortalezaFortalezaBrazil

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