Encyclopedia of Clinical Neuropsychology

Living Edition
| Editors: Jeffrey Kreutzer, John DeLuca, Bruce Caplan

Endovascular Therapy

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DOI: https://doi.org/10.1007/978-3-319-56782-2_9279-1
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Synonyms

Mechanical thrombectomy; Thrombectomy

Definition

Endovascular therapy is the use of mechanical thrombectomy or thrombus retrieval to remove a blood clot from a blood vessel. While in the past, this procedure required a surgical incision, recent technological developments have enabled most mechanical thrombectomy procedures to be performed percutaneously. The skin and blood vessel are punctured using a catheter, and a mechanical device on the end of the catheter is used to break up or retrieve and remove the thrombus.

Current Knowledge

Current practices related to endovascular therapy are evolving rapidly, based on several recent large multicenter clinical trials. However, clinical practice guidelines now consider it standard of care to use endovascular procedures to perform mechanical thrombectomy in selected patients with acute ischemic strokes, specifically those caused by proximal carotid artery or middle cerebral artery occlusion, if the procedure can be performed in the...

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References

  1. Albers, G. W., Marks, M. P., Kemp, S., Christensen, S., Tsai, J., et al. (2018). Thrombectomy for stroke at 6 to 16 hours with selection by perfusion imaging. New England Journal of Medicine.  https://doi.org/10.1056/NEJMoa1713973.
  2. Goyal, M., Menon, B. K., van Zwam, W. H., et al. (2016). Endovascular thrombectomy after large-vessel ischaemic stroke: A metaanalysis of individual patient data from five randomised trials. Lancet, 387, 1723–1731.CrossRefGoogle Scholar
  3. Noqueira, R. G., Jadhav, A. P., Haussen, D. C., Bonafe, A., Budzik, R. F., et al. (2018). Thrombectomy 6 to 24 hours after stroke with a mismatch between deficit and infarct. New England Journal of Medicine, 378, 11–21.CrossRefGoogle Scholar
  4. Powers, W. J., Rabinstein, A. A., Ackerson, T., Adeoye, O. M., Bambakidis, N. C., Becker, K., Biller, J., Brown, M., Demaerschalk, B. M., Hoh, B., Jauch, E. C., Kidwell, C. S., Leslie-Mazwi, T. M., Ovbiagele, B., Scott, P. A., Sheth, K. N., Southerland, A. M., Summers, D. V., Tirschwell, D. L., & on behalf of the American Heart Association Stroke Council. (2018). Guidelines for the early management of patients with acute ischemic stroke: A guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke. 2018, 49, eXXX–eXXX.  https://doi.org/10.1161/STR.0000000000000158.CrossRefGoogle Scholar

Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  1. 1.Feinberg School of Medicine, Physical Medicine and RehabilitationNorthwestern UniversityChicagoUSA