Naslov
Mehanička trombektomija – nova metoda liječenja akutnog ishemijskog moždanog udara

Autori
Bezak, Boris ; Kovačić, Slavica ; Bralić, Marina ; Bonifačić, David ; Knežević, Siniša ; Tkalčić, Lovro ; Miletić, Damir ; Vuletić, Vladimira

Izvornik
Medicina Fluminensis (1848-820X) 57 (2021), 4; 328-340

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, stručni

Ključne riječi
endovascular procedures ; guidelines ; stroke ; thrombectomy

Sažetak
The paradigm of acute ischemic stroke treatment has changed significantly in the last decade. Clinicians switched from the former passive approach to active treatment that includes intravenous thrombolysis and mechanical thrombectomy. Epiphany of mechanical thrombectomy as a preferable treatment method for acute ischemic stroke started with publication of several multicentred randomized studies (MR CLEAN, ESCAPE, SWIFT PRIME, REVASCAT, THRACE, PISTE), which confirmed the benefits of this method in the year 2015. Today, mechanical thrombectomy is proven to be a favorable and desirable method of treatment for patients with acute ischemic stroke. Further development of new diagnostic devices and standardization of imaging protocols enabled objective estimation of brain damage, which resulted with extension of the time frame in which invasive treatment has potential benefit. Consequently, it is now advised to perform mechanical thrombectomy even 24 hours from symptom onset, which was confirmed by DAWN and DEFUSE 3 studies. The development of new endovascular materials, techniques and trained medical staff resulted with treating more distally located vascular structures, such as occlusions of M2 and M3 segments of the middle cerebral artery and proximal occlusions of anterior and posterior cerebral circulation. Meanwhile, neurointerventional team becamethe crucial link in acute ischemic stroke treatment. With recent implementation of mechanical thrombectomy in every Clinical Hospital Center in Croatia, a modern and up to date treatment of acute ischemic stroke became available to every patient in our country.

Izvorni jezik
Hrvatski

Znanstvena područja
Kliničke medicinske znanosti

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