October 2014

Introduction

Mechanical Thrombectomy in Acute Ischemic Stroke: How To Improve It?

Laurent Pierot

Laurent Pierot

The publication in 2013 of 3 negative randomized trials comparing endovascular treatment (EVT) with IV rtPA vs. IV rtPA alone was really disappointing for the neurointerventional community, even if these trials had several drawbacks restricting their clinical importance.1 One major drawback was … more »

Interventional

Frequency and Relevance of Anterior Cerebral Artery Embolism Caused by Mechanical Thrombectomy of Middle Cerebral Artery Occlusion

Wiebke Kurre

Wiebke Kurre

Mechanical thrombectomy for the treatment of acute stroke is gaining importance in the portfolio of neuro-endovascular procedures. With proper patient selection, optimized workflow, and advanced technique, angiographic and—even more importantly, clinical—success is convincing. Triggered by the rapid evolution of endovascular stroke treatment, randomized … more »

Interventional

Fate of the Penumbra after Mechanical Thrombectomy

Benjamin Friedrich

Benjamin Friedrich

Until recently, decisions on stroke therapy were based solely on clinical assessment. Only noncontrast CT was needed to rule out intracranial hemorrhage or large infarction to treat the patients with intravenous tPA. Founding the treatment decision using only the clinical evaluation and NCCT was sound … more »