Mechanical thrombectomy devices comprise a wide array of endovascular tools cleared for removing thrombi from the neurovasculature in acute ischemic stroke patients. Consensus statement on mechanical thrombectomy eso karolinska stroke update 2014 in collaboration with esmint and esnr.
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Age 18 years or more nihss score 6 or above and a baseline modified rankin scale mrs score between 0 to 2.
Mechanical thrombectomy guidelines. Guidelines on mechanical thrombectomy in acute ischemic stroke were published in february 2019 by the european stroke organisation. The mr clean trial multicenter randomized clinical trial of endovascular treatment in the netherlands10 using stent retrievers in 97 of the cases showed benefit of endovascular therapy up to 6 h after stroke onset in the proximal anterior circulation in. Mechanical thrombectomy mt plus best medical management bmm is recommended for adults with anterior circulation large vessel occlusion related acute ischemic stroke presenting within 6 hours after symptom onset. Mechanical thrombectomy is a breakthrough in the management of acute ischaemic stroke that is due to large artery occlusion showing superior results in comparison to intravenous thrombolysis. Per ahaasa guidelines a patient with ais who presents within 6 hours may be selected for mechanical thrombectomy with the following demographic criteria. These 2018 guidelines are an update to the 2013 guidelines which were published prior to the six positive early window mechanical thrombectomy trials mr clean escape extend ia revascat swift prime thrace that emerged in 2015 and 2016. In the united states 3 classes of mechanical thrombectomy devices have been cleared by the food and drug administration. The time window for treatment using mechanical thrombectomy is up to 6 hours or longer in selected patients.
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Mechanical Thrombectomy