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IR Playbook pp 499-511 | Cite as

Stroke

  • Christopher Kim
  • Mary E. Jensen
Chapter

Abstract

In 2015, stroke was the second leading cause of death worldwide, trailed only by ischemic heart disease in global mortality (World Health Organization Global Health Observatory Data. May 2017. http://www.who.int/gho). Recognized symptoms include facial droop, extremity weakness, altered mental status, and aphasia. Strokes can be categorized into ischemic or hemorrhagic based on imaging features. Ischemic strokes of either thrombotic or embolic origin account for nearly 87% of all strokes (Mozaffarian et al. Circulation 131(4):e29–322, 2015). While hemorrhagic strokes are managed medically and/or surgically, the acute ischemic stroke patient may benefit from the administration of intravenous recombinant tissue plasminogen activator (rt-PA) or endovascular therapy within the proper time frame and in the proper clinical setting. This chapter discusses the role of endovascular therapy for treatment of ischemic stroke.

Keywords

Stroke hemorrhagic stroke Ischemic stroke Stentriever Solumbra technique ADAPT technique ASPECTS score Cerebral ischemia Intracranial Cerebral artery NIHSS Recombinant tissue plasminogen activator (rt-PA) Modified Rankin score (mRS) 

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.University of Virginia Health System, Department of Radiology and Medical ImagingCharlottesvilleUSA

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