Advances in mechanical thrombectomy for acute ischaemic stroke.
Oishik RahaCharles HallAbid MalikLucio D'AnnaKyriakos LobotesisJoseph KwanSoma BanerjeePublished in: BMJ medicine (2023)
Mechanical thrombectomy is a ground breaking treatment for acute ischaemic stroke caused by occlusion of a large vessel. Its efficacy over intravenous thrombolysis has been proven in multiple trials with a lower number needed to treat than percutaneous coronary intervention for acute myocardial infarction. However, access to this key treatment modality remains limited with a considerable postcode lottery across the UK and many parts of the world. The evidence base for mechanical thrombectomy dates back to 2015. Since then, there have been important advances in establishing and widening the criteria for treatment. This narrative review aims to summarise the current evidence base and latest advances for physicians and academics with an interest in recanalisation treatments for acute ischaemic stroke.
Keyphrases
- acute myocardial infarction
- liver failure
- percutaneous coronary intervention
- respiratory failure
- primary care
- heart failure
- coronary artery disease
- drug induced
- acute coronary syndrome
- left ventricular
- pulmonary embolism
- low dose
- intensive care unit
- aortic dissection
- replacement therapy
- hepatitis b virus
- smoking cessation
- cross sectional
- acute ischemic stroke
- coronary artery bypass