Update on acute endovascular and surgical stroke treatment
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Update on acute endovascular and surgical stroke treatment. / Kondziella, D; Cortsen, M; Eskesen, V; Hansen, K; Holtmannspötter, Marcus; Højgaard, J.; Stavngaard, T; Søndergaard, H; Wagner, A; Welling, K-L.
In: Acta Neurologica Scandinavica, Vol. 127, No. 1, 2013, p. 1-9.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Update on acute endovascular and surgical stroke treatment
AU - Kondziella, D
AU - Cortsen, M
AU - Eskesen, V
AU - Hansen, K
AU - Holtmannspötter, Marcus
AU - Højgaard, J.
AU - Stavngaard, T
AU - Søndergaard, H
AU - Wagner, A
AU - Welling, K-L
N1 - © 2012 John Wiley & Sons A/S.
PY - 2013
Y1 - 2013
N2 - Emergency stroke care has become a natural part of the emerging discipline of neurocritical care and demands close cooperation between the neurologist and neurointerventionists, neurosurgeons, and anesthesiologists. Endovascular treatment (EVT), including intra-arterial thrombolysis, mechanical thrombectomy and angioplasty/stenting, is under rapid development. Although EVT has yet to be shown in randomized controlled trials to improve clinical outcome compared to intravenous thrombolysis, it is far better in achieving recanalization of occluded large cerebral vessels, which is crucial for rescuing the penumbra. Moreover, decompressive craniectomy is now a well-established treatment option for malignant middle cerebral artery infarction and cerebellar stroke. Using a case-based approach, this article reviews recent achievements in advanced treatment options for patients with acute ischemic stroke.
AB - Emergency stroke care has become a natural part of the emerging discipline of neurocritical care and demands close cooperation between the neurologist and neurointerventionists, neurosurgeons, and anesthesiologists. Endovascular treatment (EVT), including intra-arterial thrombolysis, mechanical thrombectomy and angioplasty/stenting, is under rapid development. Although EVT has yet to be shown in randomized controlled trials to improve clinical outcome compared to intravenous thrombolysis, it is far better in achieving recanalization of occluded large cerebral vessels, which is crucial for rescuing the penumbra. Moreover, decompressive craniectomy is now a well-established treatment option for malignant middle cerebral artery infarction and cerebellar stroke. Using a case-based approach, this article reviews recent achievements in advanced treatment options for patients with acute ischemic stroke.
U2 - 10.1111/j.1600-0404.2012.01702.x
DO - 10.1111/j.1600-0404.2012.01702.x
M3 - Journal article
C2 - 22881403
VL - 127
SP - 1
EP - 9
JO - Acta Neurologica Scandinavica
JF - Acta Neurologica Scandinavica
SN - 0001-6314
IS - 1
ER -
ID: 48444142