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Evidence on Mechanical Thrombectomy in Acute Ischemic Stroke
Pages 3-18
This comprehensive, case-based resource provides the state-of-the-art knowledge that can help readers improve access and optimize delivery of stroke thrombectomy. Improving access to stroke is of particular importance because patients often misinterpret their symptoms or cannot speak for themselves if they have aphasia. More importantly, access needs to be organized because stroke therapies are all extremely time-sensitive. Scalable, choreographed protocols are necessary for emergency medical systems to ‘capture’ stroke patients and automatically transport and triage to time-sensitive treatments. Many of the chapters in the first section on Fundamentals and Systems provide valuable insight in improving access to stroke care. Replete with illustrative case studies and emphasizing that treatment approaches to stroke should not be comprised of a one-size-fits-all approach, this illuminating title provides the complete thought, detail, insight and organization that will help readers meet the needs of stroke patients with large vessel occlusions. 12 Strokes: A Case-based Guide to Acute Ischemic Stroke Management examines the primary technical principles that underlie the current thrombectomy approaches. Instead of continuing the conceptual dichotomy of stent vs. aspiration, many of the chapters look at underlying principles and then discuss ways in which the currently available devices and approaches can best exploit them. The variety, creativity and detail in many of these chapters will help the reader develop a deeper understanding that might assist their ability to successfully take care of their next patient that ‘doesn’t follow the textbook.’ In addition, the anatomic and pathophysiologic classification of the core Twelve Chapters will help readers organize their thinking and approach. This knowledge, particularly because it is organized based on common, challenging syndromes, will arm the reader to quickly recognize patterns and deftly adapt their management approaches to the needs of the patient.
An invaluable contribution to the clinical literature, 12 Strokes: A Case-based Guide to Acute Ischemic Stroke Management will be of great interest to not only neurosurgeons and neurologists but other specialists, primary care providers, and trainees as well.
Evidence on Mechanical Thrombectomy in Acute Ischemic Stroke
Pages 3-18
In Vitro Clot Modeling and Clinical Applications
Pages 19-43
Pediatric Acute Ischemic Stroke: Nuances for the Neurointerventionalist
Pages 45-64
ELVO in Urban Areas: Evolution of Stroke Systems of Care
Pages 65-71
Surviving Large Vessel Occlusions in Uruguay: Current Challenges and Solutions
Pages 73-79
Direct to Angiography—An Emerging Paradigm in Large Vessel Occlusion Stroke: Rationale, Feasibility, and Preliminary Results
Pages 81-100
Thrombectomy Techniques: Stent Retriever – Balloon Guide
Pages 103-111
Direct Aspiration Thrombectomy for Acute Stroke: Evolution of Technique and Evidence
Pages 113-128
The Stentriever-Mediated Aspiration Thrombectomy (SMAT) Technique
Pages 129-134
Transradial Approach for Stroke
Pages 135-139
Thrombectomy Techniques: Remote Aspiration
Pages 141-149
Endovascular Therapy for Middle Cerebral Artery Occlusions
Pages 153-170
Thrombectomy for Basilar Occlusion: Approach and Strategy
Pages 171-183
Carotid Terminus Occlusion
Pages 185-191
Thrombectomy for Acute Occlusion in Intermediate-Sized Distal Arteries
Pages 193-205
The Tandem Occlusion
Pages 207-225
Acute Stroke Thrombectomy and Emergent Management of Tandem Cervical Dissections
Pages 227-245
Acute Stroke Following Carotid Endarterectomy: Approach and Strategy
Pages 247-256
Large Vessel Occlusion with Underlying Atherosclerosis: Approach and Strategy
Pages 257-268
Large Vessel Occlusion with Low NIHSS: Approach and Strategy
Pages 269-277
Challenges in Thrombectomy: Mega Clots
Pages 279-287
Challenges in Thrombectomy: Access Problems, Hard Clots, Relapsing Occlusions, and Embolization to New Territories
Pages 289-309
Challenges in Thrombectomy: Impossible Aortic Arches and Tortuous Vessels
Pages 311-327
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