Human Baharvahdat; Payam Sasannejad; Mahmud Mohammadzade Shabestari; Farzad Fazeli
Volume 24, Issue 6 , March and April 2018, , Pages 13-18
Abstract
Background & Objectives: Several studies confirmed that early recanalization of intracranial arteries during ischemic strokes result in better recovery of these patients after three months of treatment. Materials & Methods: Recanalization of cerebral arteries is performed using intravenous tPA ...
Read More
Background & Objectives: Several studies confirmed that early recanalization of intracranial arteries during ischemic strokes result in better recovery of these patients after three months of treatment. Materials & Methods: Recanalization of cerebral arteries is performed using intravenous tPA or mechanical thrombectomy. Results: Intravenous tPA injection within 3 hours of ischemic stroke is associated with better outcome in three months follow-up. Intravenous tPA has less effect on large cerebral arteries, like internal carotid arteries. Recent studies showed that mechanical thrombectomy of large cerebral arteries within 6 hours of stroke onset is associated with better outcome three months after operation. Since 2015, mechanical thrombectomy has been entered in first-line of acute phase of ischemic stroke in several guidelines and countries. Mechanical thrombectomy included several different endovascular techniques, as thrombosuction and stent retrieval for clot removal. Conclusion: Understanding several these different techniques, thier benefits, and their safety could help better selection of suitable method for endovascular treatment of stroke patients.