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Neurocritical Care for the Advanced Practice Clinician pp 117–136Cite as

Mechanical Thrombectomy for Acute Ischemic Stroke

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Abstract

Ischemic stroke is characterized by the blockage of cerebral arteries. After this event takes place, the deprivation of blood flow leads to irreversible damage of the brain tissue area located in the proximity of the vessel occlusion. Surrounding this area called the stroke core, we can find damaged but salvageable brain tissue, the penumbra. As time progresses, the central area of necrosis will grow as the irreversible damage extends to the penumbra, making time between stroke onset and therapy initiation critical. Mechanical thrombectomy offers the potential to save the penumbra from ischemic infarction. Reperfusion of a large-vessel occlusion with mechanical thrombectomy improves functional outcome in patients presenting with ischemic stroke and is now considered standard of care. This chapter describes the history, selection criteria, and postprocedure care of mechanical thrombectomy.

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Acknowledgments

KRB acknowledges Alex Lu, medical student at Yale School of Medicine whose peer-reviewed paper formed the initial basis for this chapter.

The authors thank Sandra Saldana-Ortega for editorial assistance.

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Authors and Affiliations

  1. Yale University, New Haven, CT, USA

    Ketan R. Bulsara MD, Jennifer L. Dearborn MD & Jessica L. White PA-C

Authors
  1. Ketan R. Bulsara MD
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  2. Jennifer L. Dearborn MD
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  3. Jessica L. White PA-C
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Corresponding author

Correspondence to Ketan R. Bulsara MD .

Editor information

Editors and Affiliations

  1. Neuroscience Intensive Care Unit, Yale New Haven Hospital, New Haven, Connecticut, USA

    Jessica L. White

  2. Neurosciences Intensive Care Unit, Yale School of Medicine, New Haven, Connecticut, USA

    Kevin N. Sheth

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Bulsara, K.R., Dearborn, J.L., White, J.L. (2018). Mechanical Thrombectomy for Acute Ischemic Stroke. In: White, J., Sheth, K. (eds) Neurocritical Care for the Advanced Practice Clinician. Springer, Cham. https://doi.org/10.1007/978-3-319-48669-7_7

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  • DOI: https://doi.org/10.1007/978-3-319-48669-7_7

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-48667-3

  • Online ISBN: 978-3-319-48669-7

  • eBook Packages: MedicineMedicine (R0)

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