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Mechanical thrombectomy: Answering unanswered
The stroke physician community witnessed a major "breakthrough" in acute stroke therapeutics when the results of the first of the many positive trials, "MR CLEAN," were published showing a significant absolute benefit in favor of mechanical thrombectomy in patients with large vessel occlusion (LVO). Thereafter, the investigators of ESCAPE, SWIFT PRIME,
Rajsrinivas Parthasarathy, Vipul Gupta
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Endovascular thrombectomy for M2 occlusions: comparison between forced arterial suction thrombectomy and stent retriever thrombectomy [PDF]
BackgroundTo date there has been no direct comparison of two frequently used endovascular thrombectomy (EVT) methods (forced arterial suction thrombectomy (FAST) and stent retriever thrombectomy) in M2 occlusions. We review our experiences with EVT performed using FAST and stent retriever thrombectomy in such cases.MethodsThe subjects comprised 41 ...
Yong-Won Kim+4 more
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ABSTRACT Background Lipoprotein(a) [Lp(a)] is associated with increased cardiovascular risk, but its influence on plaque characteristics at optical coherence tomography (OCT) evaluation is not fully understood. Aims This study seeks to explore the impact of Lp(a) levels on plaque morphology as assessed by OCT in a very high‐risk subset of patients ...
Francesca Maria Di Muro+13 more
wiley +1 more source
Percutaneous mechanical circulatory support for acute right heart failure: A practical approach
This is an overview of percutaneous mechanical circulatory support options for acute right heart failure, illustrating key clinical scenarios, device types, and principles of tailored device selection based on haemodynamics and underlying pathology. Abstract Acute right heart failure (RHF) represents a critical entity with significant morbidity and ...
Mario Gramegna+18 more
wiley +1 more source
Objective To analyze the effectivity and safety of stent thrombectomy and direct aspiration thrombectomy in the treatment of ischemic stroke caused by acute middle cerebral artery (MCA) M2 segment occlusion.
GUO Zhang⁃bao +5 more
doaj +1 more source
An Algorithm for the Labeling and Interactive Visualization of the Cerebrovascular System of Ischemic Strokes [PDF]
During the diagnosis of ischemic strokes, the Circle of Willis and its surrounding vessels are the arteries of interest. Their visualization in case of an acute stroke is often enabled by Computed Tomography Angiography (CTA). Still, the identification and analysis of the cerebral arteries remain time consuming in such scans due to a large number of ...
arxiv
Thrombectomy Trials and Implications [PDF]
We have now had time to reflect upon the results of the series of thrombectomy trials and their implications are more fully appreciated. There are now a total of seven trials, which have been published or presented, with two more to come. There is certainly enough of a body of evidence to give us a good overview of their potential impact on stroke ...
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ABSTRACT Objectives This study aimed to illustrate the state of stroke care and rehabilitation in the Philippines through the perspectives of local government officials, policymakers, and organisational leaders. It sought to identify challenges, opportunities, and recommendations for improving stroke policies and services across different ...
Sarah Buckingham+8 more
wiley +1 more source
Pulmonary embolism and stroke associated with mechanical thrombectomy
Mechanical thrombectomy offers the advantage of rapid removal of venous thrombi. It allows venous obstructions to be removed and requires shorter duration of infusion of thrombolytic agents.
Paulo Bastianetto, Daniel Mendes Pinto
doaj +1 more source
Autonomous navigation of catheters and guidewires in mechanical thrombectomy using inverse reinforcement learning [PDF]
Purpose: Autonomous navigation of catheters and guidewires can enhance endovascular surgery safety and efficacy, reducing procedure times and operator radiation exposure. Integrating tele-operated robotics could widen access to time-sensitive emergency procedures like mechanical thrombectomy (MT).
arxiv +1 more source