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ISSN 1729-6935 (Electronic)
16 de abril

2022, Number 283

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16 de abril 2022; 61 (283)

Thrombolytic management versus endovascular in ischemic stroke

Martínez-Zarazúa C, Torres-Rivera MG

Language: Spanish
References: 35
Page: 1-8
PDF size: 605.15 Kb.


ABSTRACT

Introduction: ischemic stroke is an endemic condition; its approach has been the subject of study and new techniques and technologies have been developed for its treatment. Currently there are two types of therapies, thrombolysis and thrombectomy. Although both therapies have been extensively studied, there is controversy as to which of these has better recanalization rates and functional outcomes. Objective: to characterize ischemic stroke by comparing the therapeutic approaches for the management of the pathology. Method: a literature review was performed for which PubMed, Cochrane and SciELO databases were consulted, using the descriptors “Stroke”, “Thrombolytic Therapy” and “Thrombectomy” and the following selection criteria: systemic reviews, meta-analyses, clinical and preclinical trials, clinical practice guidelines and literature reviews published from 2015 to 2020, with a total of 32 articles and 4 books consulted with adequate quality and validity. Development: mechanical thrombectomy has generated good functional results, with better recanalization rates and longer therapeutic window period, compared to thrombolysis, being direct aspiration cost-effective, with better results than stentriever application. Conclusions: primary management of acute ischemic stroke with mechanical thrombectomy by direct aspiration is cost-effective, with better functional results than just thrombolysis and it is effective with or without thrombolysis.


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