Mechanical Approaches Combined With Intra-Arterial Pharmacological Therapy Are Associated With Higher Recanalization Rates Than Either Intervention Alone in Revascularization of Acute Carotid Terminus Occlusion
Author(s) -
Ridwan Lin,
Nirav Vora,
Syed Zaidi,
Aitzíber Aleu,
Brian T. Jankowitz,
Ajith J. Thomas,
Rishi Gupta,
Michael Horowitz,
Susan Kim,
Vivek Reddy,
Maxim D. Hammer,
Ken Uchino,
Lawrence R. Wechsler,
Tudor Jovin
Publication year - 2009
Publication title -
stroke
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.397
H-Index - 319
eISSN - 1524-4628
pISSN - 0039-2499
DOI - 10.1161/strokeaha.108.544783
Subject(s) - medicine , thrombolysis , embolectomy , cardiology , angioplasty , revascularization , internal carotid artery , stroke (engine) , carotid stenting , myocardial infarction , surgery , carotid endarterectomy , stenosis , pulmonary embolism , mechanical engineering , engineering
Acute stroke attributable to internal carotid artery terminus occlusion carries a poor prognosis. Vessel recanalization is crucial to improve clinical outcome. Historically, pharmacological thrombolysis alone has low recanalization rates. We sought to determine whether adjunctive mechanical approaches achieve better vessel recanalization and functional outcome.
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