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2019, Number 627

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Rev Med Cos Cen 2019; 85 (627)

Actualización en guías de manejo endovascular del evento cerebrovascular isquémico agudo

Hernández GA, Odio ZP, Martínez ME, Huete MF, Barboza EMA
Full text How to cite this article

Language: Spanish
References: 23
Page: 24-29
PDF size: 108.73 Kb.


Key words:

ischemic stroke, thrombectomy, middle cerebral artery occlusion, guidelines.

ABSTRACT

Ischemic strokes are a frequent clinical entity and have a great impact on patients´ health and independence. A significant number of these patients progress with a poor functional outcome when they feature conditions that confers a poor prognosis of revascularization through intravenous thrombolysis. Given this, mechanical thrombectomy has become a solid therapeutic option in this type of patients and those who are not candidates for the administration of intravenous alteplase. In recent years, new evidence has been generated that supports this approach and demonstrates its benefit in new clinical contexts for which previously there was no possibility of therapy. Because of this, international stroke associations have taken up the task of updating their guidelines and recommendations in relation to this issue based on the new information that has been published in recently. This article aims to establish the most important points to define and address a patient that would benefit from performing endovascular mechanical thrombectomy.


REFERENCES

  1. Smith WS1, Sung G, Starkman S, et al. Safety and efficacy of mechanical embolectomy in acute ischemic stroke: results of the MERCI trial. Stroke. 2005; 36:1432–1438

  2. Seners P, Turc G, Maïer B, et al. Incidence and Predictors of Early Recanalization After Intravenous Thrombolysis: A Systematic Review and Meta-Analysis. Stroke. 2016; 47: 2409-2412

  3. Malhotra K, Gornbein J & Saver JL. Ischemic Strokes Due to Largevessel Occlusions Contribute Disproportionately to Stroke-Related Dependence and Death: A Review. Front. Neurol. 2017. 8:651. doi: 10.3389/fneur.2017.00651

  4. Clark W, Lutsep H, Barnwell S, et al. The penumbra pivotal stroke trial: safety and effectiveness of a new generation of mechanical devices for clot removal in intracranial large vessel occlusive disease. Stroke. 2009; 40:2761–2768

  5. Powers WJ, Rabinstein AA, Ackerson T, et al “2018 Guidelines for the Early Management of Patients with Acute Ischemic Stroke” Stroke. 2018;49: DOI: 10.1161/STR.0000000000000158

  6. Turc G, Bhogal P, Fischer U, et al. European Stroke Organisation (ESO) - European Society for Minimally Invasive Neurological Therapy (ESMINT) Guidelines on Mechanical Thrombectomy in Acute Ischaemic Stroke. European Stroke Journal 2019, Vol. 4(1) 6–12

  7. Wintermark M1, Albers GW, Broderick JP, et al. Acute Stroke Imaging Research Roadmap II. Stroke. 2013 ;44(9):2628-39. DOI: 10.1161/STROKEAHA.113.002015

  8. Warach SJ, Luby M, Albers GW, et al. Acute Stroke Imaging Research Roadmap III Imaging Selection and Outcomes in Acute Stroke Reperfusion Clinical Trials Consensus Recommendations and Further Research Priorities. Stroke. 2016; 47:1389-1398. DOI: 10.1161/STROKEAHA.115.012364

  9. Seker F, Potreck A, Möhlenbruch M, et al. Comparison of four different collateral scores in acute ischemic stroke by CT angiography. J NeuroIntervent Surg .2015;0:1–4. DOI:10.1136/neurintsurg-2015-012101

  10. Löwhagen Hendén P, Rentzos A, et al. General anesthesia versus conscious sedation for endovascular treatment of acute ischemic stroke: the AnStroke trial (Anesthesia During Stroke). Stroke. 2017; 48:1601–1607. DOI: 10.1161/STROKEAHA.117.016554

  11. Goyal M, Demchuk AM, Menon BK, et al. Randomized Assessment of Rapid Endovascular Treatment of Ischemic Stroke. N Engl J Med 2015; 372:1019-1030

  12. Saver JL, Goyal M, Bonafe A, et al SWIFT PRIME Investigators. Stentretriever thrombectomy after intravenous t-PA vs. t-PA alone in stroke. N Engl J Med. 2015; 372:2285–2295. DOI: 10.1056/NEJMoa1415061

  13. Barlinn J, Gerber J, Barlinn K, et al. Acute endovascular treatment delivery to ischemic stroke patients transferred within a telestroke network: a retrospective observational study. Int J Stroke. 2017; 12:502–509. DOI: 10.1177/1747493016681018

  14. Saver JL, Goyal M, van der Lugt A, et al HERMES Collaborators. “Time to treatment with endovascular thrombectomy and outcomes from ischemic stroke: a meta-analysis”. JAMA. 2016; 316:1279–1288. DOI: 10.1001/jama.2016.13647

  15. Aulicky P, Mikulík R, Goldemund D, et al. Safety of performing CT angiography in stroke patients treated with intravenous thrombolysis. J Neurol Neurosurg Psychiatry. 2010; 81:783–787. DOI: 10.1136/jnnp.2009.184002

  16. Krol AL, Dzialowski I, Roy J, et al. Incidence of radiocontrast nephropathy in patients undergoing acute stroke computed tomography angiography. Stroke. 2007; 38:2364–2366. DOI: 10.1161/STROKEAHA.107.482778

  17. Berkhemer OA, Fransen PS, Beumer D, et al MR CLEAN Investigators. A randomized trial of intraarterial treatment for acute ischemic stroke. N Engl J Med. 2015; 372:11–20. DOI: 10.1056/NEJMoa1411587

  18. Bracard S, Ducrocq X, Mas JL et al. THRACE Investigators. Mechanical thrombectomy after intravenous alteplase versus alteplase alone after stroke (THRACE): a randomised controlled trial. Lancet Neurol. 2016; 15:1138–1147. DOI: 10.1016/S1474- 4422(16)30177-6

  19. Albers GW, Marks MP, Kemp S, et al. DEFUSE 3 Investigators. Thrombectomy for stroke with perfusion imaging selection at 6–16 hours. N Engl J Med. 2018; 378:708-18

  20. Nogueira RG, Jadhav AP, Haussen DC, et al. TG DAWN Trial Investigators. Thrombectomy 6 to 24 hours after stroke with a mismatch between deficit and infarct [published online ahead of print November 11, 2017]. N Engl J Med. DOI: 10.1056/NEJMoa1706442

  21. Vilela P & Rowley HA. Brain Ischemia: CT and MRI Techniques in Acute Ischemic Stroke. European Journal of Radiology. 2017: 96: 160-172. DOI: 10.1016/j.ejrad.2017.08.014

  22. Jovin TG, Chamorro A, Cobo E, et al REVASCAT Trial Investigators. Thrombectomy within 8 hours after symptom onset in ischemic stroke. N Engl J Med. 2015; 372:2296–2306. DOI: 10.1056/NEJMoa1503780

  23. Campbell BC, Mitchell PJ, Kleinig TJ, et al EXTEND-IA Investigators. Endovascular therapy for ischemic stroke with perfusion-imaging selection. N Engl J Med. 2015; 372:1009–1018. DOI: 10.1056/NEJMoa1414792




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Rev Med Cos Cen. 2019;85