Different Trials in Mechanical Thrombectomy for Acute Ischemic Stroke

Authors

  • Pritam Gurung Annapurna Neurological Institute and Allied Sciences, Maitighar, Kathmandu, Nepal
  • Bishal Shrestha Annapurna Neurological Institute and Allied Sciences, Maitighar, Kathmandu, Nepal
  • Anish Neupane Annapurna Neurological Institute and Allied Sciences, Maitighar, Kathmandu, Nepal
  • Pravesh Rajbhandhari Annapurna Neurological Institute and Allied Sciences, Maitighar, Kathmandu, Nepal

Keywords:

Acute ischemic stroke, Anterior circulation, Intravenous recombinant tissue plasminogen activator, Mechanical thrombectomy

Abstract

Acute Ischemic Stroke (AIS) is a leading cause of death and disability. It can be treated
early with a favorable prognosis if intravenous recombinant tissue plasminogen
activator (IV rt-PA) is given to eligible patients within 4.5 hours of its onset. For
those patients who do not meet the criteria to undergo intravenous fibrinolysis,
mechanical thrombectomy has been shown to be an effective alternative in
patients presenting with occlusion of first segment of middle Cerebral artery
(MCA) or of internal carotid artery (ICA), provided the intervention is performed
within 24 hour according to previous trial. We herein review different randomized
controlled trials on AIS undergoing mechanical thrombectomy.

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Author Biographies

Pritam Gurung, Annapurna Neurological Institute and Allied Sciences, Maitighar, Kathmandu, Nepal


Department of Neurosurgery

Bishal Shrestha, Annapurna Neurological Institute and Allied Sciences, Maitighar, Kathmandu, Nepal

Department of Neurosurgery

Anish Neupane, Annapurna Neurological Institute and Allied Sciences, Maitighar, Kathmandu, Nepal


Department of Radiology

Pravesh Rajbhandhari, Annapurna Neurological Institute and Allied Sciences, Maitighar, Kathmandu, Nepal

Department of Neurosurgery

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Published

2023-11-30

How to Cite

Gurung, P., Shrestha, B., Neupane, . A. ., & Rajbhandhari, . P. . (2023). Different Trials in Mechanical Thrombectomy for Acute Ischemic Stroke . Annapurna Journal of Health Sciences, 1(2), 56–61. Retrieved from https://nepjol.info/index.php/ajhs/article/view/59920

Issue

Section

Review Article