Intensive Care Management Following Endovascular Clot Retrieval for Acute Stroke: A Systematic Review of the Literature

Ma, Alice; Moynihan, Gerard; Donaldson, Lachlan

doi:10.1055/s-0039-1694095

J Clin Interv Radiol ISVIR

2019

DOI: 10.1055/s-0039-1694095

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Intensive Care Management Following Endovascular Clot Retrieval for Acute Stroke: A Systematic Review of the Literature

Alice Ma

Gerard Moynihan

Lachlan Donaldson

Abstract: Keywords► mechanical thrombolysis ► balloon embolectomy ► thrombectomy ► endovascular procedures ► intracranial embolism ► stroke ► brain ischaemia ► brain infarction ► critical care ► intensive care units

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2024

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The Role of Neurosurgical Techniques in Management of Acute and Chronic Stroke: A Comprehensive Literature Review

Antoniadis,

Khan,

Nallamotu

et al. 2024

Cureus

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Stroke is a medical condition that results from a decreased or completely diminished supply of blood to the brain, and it is considered one of the major causes of morbidity and mortality globally. Stroke is categorized as ischemic and hemorrhagic stroke, both of which demand prompt and particular timely intervention. This extensive review is done to investigate the precise management of acute and chronic manifestations of stroke in relation to neurosurgical interventions, ultimately providing a thorough analysis regarding indications, procedures, outcomes, and complications that are associated with it. In this regard, a pervasive review of literature was carried out, which was primarily sourced from literature databases such as PubMed. This paper particularly outlines a sound relative analysis of anticipating the competence of each neurosurgical technique in use. Endovascular clot retrieval (ECR) has been particularly highlighted, as its effectiveness has been profoundly observed when selected as a treatment option within a time period of 6-24 hours following an ischemic stroke. In less than a time frame of 48 hours, decompressive hemicraniectomy (DH) is usually considered the most suitable treatment for cases of intracranial hypertension resulting from middle cerebral artery (MCA) infarction. Hemorrhages that occur due to ruptured aneurysms are most commonly dealt with clipping and neuroendovascular techniques. Additionally, considering that revascularization surgery is time-sensitive, the results can ultimately vary. Competent results have been linked with stereotactic surgery, which includes deep brain stimulation (DBS) and focused ultrasound ablation (FUSA), which are also famous for being minimally invasive in nature. However, the broader application of these techniques is hindered by the absence of established protocols. This review highlights the importance of timely interventions, advanced equipment, and precise medical protocols to optimize treatment outcomes.

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The Role of Neurosurgical Techniques in Management of Acute and Chronic Stroke: A Comprehensive Literature Review

Antoniadis,

Khan,

Nallamotu

et al. 2024

Cureus

View full text Add to dashboard Cite

show abstract

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Intensive Care Management Following Endovascular Clot Retrieval for Acute Stroke: A Systematic Review of the Literature

Abstract: Keywords► mechanical thrombolysis ► balloon embolectomy ► thrombectomy ► endovascular procedures ► intracranial embolism ► stroke ► brain ischaemia ► brain infarction ► critical care ► intensive care units

Cited by 1 publication

References 44 publications

The Role of Neurosurgical Techniques in Management of Acute and Chronic Stroke: A Comprehensive Literature Review

The Role of Neurosurgical Techniques in Management of Acute and Chronic Stroke: A Comprehensive Literature Review

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