Mechanical thrombectomy for acute stroke in pregnancy

Abstract

Several recent randomised control trials have shown adjunctive endovascular mechanical thrombectomy to be an effective and safe treatment for acute stroke superior to medical therapy alone. Despite this, questions remain over certain groups of patients that have been excluded from these studies, such as pregnant women. We believe this is a topic of increasing clinical significance with minimal data in the literature. In this article we discuss stroke in pregnancy and highlight the important technical considerations of endovascular mechanical thrombectomy, including minimising radiation exposure to the mother and fetus.

Outcomes of endovascular treatment for acute ischaemic stroke in Mater Dei Hospital, Malta

“…24 Given the favourable outcomes of patients who undergo mechanical thrombectomy for AIS, the next way forward is to develop ways to make its use more reasonable and safer in higher risk cohorts, such as pregnant women. 25 All things considered, it can be concluded that the service in Malta is managing to achieve favourable outcomes for patients treated with mechanical thrombectomy for AIS. The service is still being developed and aims to achieve better outcomes to continue helping patients return back to their previous functional state.…”

“…Given the favourable outcomes of patients who undergo mechanical thrombectomy for AIS, the next way forward is to develop ways to make its use more reasonable and safer in higher risk cohorts, such as pregnant women. 25…”