Mechanical thrombectomy in acute ischemic stroke: Consensus statement by ESO-Karolinska Stroke Update 2014/2015, supported by ESO, ESMINT, ESNR and EAN

@article{Wahlgren2016MechanicalTI,
  title={Mechanical thrombectomy in acute ischemic stroke: Consensus statement by ESO-Karolinska Stroke Update 2014/2015, supported by ESO, ESMINT, ESNR and EAN},
  author={Nils Wahlgren and Tiago Prazeres Moreira and Patrik Michel and Thorsten Steiner and Olav Jansen and Christophe Cognard and Heinrich P. Mattle and Wim H. van Zwam and Staffan Holmin and Turgut Tatlisumak and Jesper Petersson and Valeria Caso and Werner Hacke and Mikael Mazighi and Marcel Arnold and Urs Fischer and Istv{\'a}n Szikora and Laurent Pierot and Jens Fiehler and Jan Gralla and Franz Fazekas and Kennedy R. Lees},
  journal={International Journal of Stroke},
  year={2016},
  volume={11},
  pages={134 - 147},
  url={https://api.semanticscholar.org/CorpusID:16771319}
}
The original version of this consensus statement on mechanical thrombectomy was approved at the European Stroke Organisation (ESO)-Karolinska Stroke Update conference in Stockholm, 16–18 November…
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72 References

Endovascular treatment for acute ischemic stroke.

When the value of perfusion imaging is addressed in a population in which neither of the treatment methods under study appears to work, the validity of the entire study may be questionable, and neither the authors of the MR RESCUE study nor Chimowitz,5 in the corresponding editorial, addresses this threat to the generalizability of the results.

Mechanical thrombectomy in acute ischemic stroke—experience from 6 years of practice

The results supports that mechanical thrombectomy is a safe and effective method to restore blood flow in selected patients suffering from an acute ischemic stroke.

Improved Clinical Outcome after Acute Basilar Artery Occlusion since the Introduction of Endovascular Thrombectomy Devices

Especially in patients with BAO - where endovascular treatment strategies are common clinical practice - bridging protocols with rtPA and modern thrombectomy devices should be used more frequently.

The Penumbra system for mechanical thrombectomy in endovascular acute ischemic stroke therapy

The Penumbra aspiration system is an effective tool to safely revascularize large-vessel occlusions in patients within 8 hours of onset of acute ischemic stroke who are either refractory to or excluded from IV thrombolytic therapy.

Thrombectomy within 8 hours after symptom onset in ischemic stroke.

Among patients with anterior circulation stroke who could be treated within 8 hours after symptom onset, stent retriever thrombectomy reduced the severity of post-stroke disability and increased the rate of functional independence.

Prospective, Multicenter, Single-Arm Study of Mechanical Thrombectomy Using Solitaire Flow Restoration in Acute Ischemic Stroke

In this single-arm study, treatment with the Solitaire Flow Restoration device in intracranial anterior circulation occlusions results in high rates of revascularization, low risk of clinically relevant procedural complications, and good clinical outcomes in combination with low mortality at 90 days.

Mechanical Thrombectomy with Stent Retrievers in Acute Basilar Artery Occlusion

Application of self-expanding retrievable stents in acute basilar artery occlusion resulted in a high recanalization rate without procedural complications and good clinical outcome in one-third of patients.

Mechanical thrombectomy as the primary treatment for acute basilar artery occlusion: experience from 5 years of practice

The study suggests that mechanical thrombectomy is a method distinct from therapies based on thrombolysis and that any randomized clinical trial on treatment for acute basilar occlusion must consider mechanical thROMbectomy as a separate entity.

Impact of Age and Baseline NIHSS Scores on Clinical Outcomes in the Mechanical Thrombectomy Using Solitaire FR in Acute Ischemic Stroke Study

SPAN-100 was an independent predictor of favorable outcome after adjusting for time to treatment and the extent of preintervention tissue damage according to the Alberta Stroke Program Early CT Score.

Endovascular treatment for acute ischemic stroke patients: implications and interpretation of IMS III, MR RESCUE, and SYNTHESIS EXPANSION trials: A report from the Working Group of International Congress of Interventional Neurology.

The results do not support a large magnitude benefit of endovascular treatment in subjects randomized in all the three trials, and large magnitude benefits can be expected with implementation of "parameter optimized endov vascular treatment" in patients with ischemic stroke who are candidates for IV thrombolytics.
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