Intra-arterial thrombectomy in the management of acute ischemic stroke: evidentiary analysis over the past two years
Stroke is one of the main causes of death and disability worldwide, and the ischemic modality is responsible for the majority of these events. Despite its high occurrence and potentially unfavorable prognosis, the management options were scarce and barely effective until recent times, when a relativ...
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doaj-0cd460eb82994fdc8dfc3a60e6ebe8fc2020-11-24T21:52:48ZengHospital de Clinicas de Porto Alegre ; Universidade Federal do Rio Grande do Sul (UFRGS)Clinical and Biomedical Research0101-55752357-97302017-07-0137233206Intra-arterial thrombectomy in the management of acute ischemic stroke: evidentiary analysis over the past two yearsGabriel Veloso Cunha0Guilherme da Silva Fernandes1Ettore Mendes Azenha2Talyta Cortez Grippe3Medicine Department of Catholic University of Brasilia. Brasília-DF, BrazilMedicine Department of Catholic University of Brasilia. Brasília-DF, BrazilMedicine Department of Catholic University of Brasilia. Brasília-DF, BrazilNeurology Department of Hospital de Base do Distrito Federal. Medical Sciences Department of University of Brasilia. Brasília-DF, BrazilStroke is one of the main causes of death and disability worldwide, and the ischemic modality is responsible for the majority of these events. Despite its high occurrence and potentially unfavorable prognosis, the management options were scarce and barely effective until recent times, when a relatively new endovascular intervention with demonstrated superior efficacy as compared with that of classic management was reported in the medical literature. The theoretical basis of this study was conducted through research in virtual databases Public MEDLINE (PubMed) and Scientific Electronic Library Online (SciELO) using associations among the keywords “acute ischemic stroke”, “ischemic stroke”, “thrombectomy”, “endovascular,” and “intra-arterial thrombectomy”. Clinical trials, meta-analysis, and pertinent literature reviews published in the last two years were reviewed and 14 articles were selected for complete and critical evaluations. The results of the randomized clinical trials, consequences of implantation of the intra-arterial thrombectomy as routine management for eligible groups, cost-effectiveness, and the most related complications and outcomes associated with the procedure are critically explored throughout this study. Keywords: Stroke; ischemic stroke; thrombectomy; endovascularhttp://seer.ufrgs.br/hcpa/article/view/69487Strokeischemic strokethrombectomyendovascular |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Gabriel Veloso Cunha Guilherme da Silva Fernandes Ettore Mendes Azenha Talyta Cortez Grippe |
spellingShingle |
Gabriel Veloso Cunha Guilherme da Silva Fernandes Ettore Mendes Azenha Talyta Cortez Grippe Intra-arterial thrombectomy in the management of acute ischemic stroke: evidentiary analysis over the past two years Clinical and Biomedical Research Stroke ischemic stroke thrombectomy endovascular |
author_facet |
Gabriel Veloso Cunha Guilherme da Silva Fernandes Ettore Mendes Azenha Talyta Cortez Grippe |
author_sort |
Gabriel Veloso Cunha |
title |
Intra-arterial thrombectomy in the management of acute ischemic stroke: evidentiary analysis over the past two years |
title_short |
Intra-arterial thrombectomy in the management of acute ischemic stroke: evidentiary analysis over the past two years |
title_full |
Intra-arterial thrombectomy in the management of acute ischemic stroke: evidentiary analysis over the past two years |
title_fullStr |
Intra-arterial thrombectomy in the management of acute ischemic stroke: evidentiary analysis over the past two years |
title_full_unstemmed |
Intra-arterial thrombectomy in the management of acute ischemic stroke: evidentiary analysis over the past two years |
title_sort |
intra-arterial thrombectomy in the management of acute ischemic stroke: evidentiary analysis over the past two years |
publisher |
Hospital de Clinicas de Porto Alegre ; Universidade Federal do Rio Grande do Sul (UFRGS) |
series |
Clinical and Biomedical Research |
issn |
0101-5575 2357-9730 |
publishDate |
2017-07-01 |
description |
Stroke is one of the main causes of death and disability worldwide, and the ischemic modality is responsible for the majority of these events. Despite its high occurrence and potentially unfavorable prognosis, the management options were scarce and barely effective until recent times, when a relatively new endovascular intervention with demonstrated superior efficacy as compared with that of classic management was reported in the medical literature. The theoretical basis of this study was conducted through research in virtual databases Public MEDLINE (PubMed) and Scientific Electronic Library Online (SciELO) using associations among the keywords “acute ischemic stroke”, “ischemic stroke”, “thrombectomy”, “endovascular,” and “intra-arterial thrombectomy”. Clinical trials, meta-analysis, and pertinent literature reviews published in the last two years were reviewed and 14 articles were selected for complete and critical evaluations. The results of the randomized clinical trials, consequences of implantation of the intra-arterial thrombectomy as routine management for eligible groups, cost-effectiveness, and the most related complications and outcomes associated with the procedure are critically explored throughout this study.
Keywords: Stroke; ischemic stroke; thrombectomy; endovascular |
topic |
Stroke ischemic stroke thrombectomy endovascular |
url |
http://seer.ufrgs.br/hcpa/article/view/69487 |
work_keys_str_mv |
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