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Endovascular Reperfusion of Acute Large Vessel Occlusion Stroke

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Neurointervention in the Medical Specialties

Part of the book series: Current Clinical Neurology ((CCNEU))

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Abstract

Acute stroke treatment continues to evolve with optimization of systemic intravenous thrombolysis and endovascular mechanical thrombectomy (MT) for intracranial large vessel occlusion (LVO). Neurointerventional techniques to achieve reperfusion in acute LVO stroke initially involved local intra-arterial infusion of thrombolytic agents. The subsequent development of MT devices has resulted in more complete and faster arterial recanalization while maintaining patient safety. Today, MT is standard of care for LVO stroke up to 24 h from last known well. In this chapter, we discuss various endovascular recanalization techniques for LVO stroke with illustrative cases.

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Authors and Affiliations

  1. Department of Neurology, University of Texas Health Science Center, San Antonio, TX, USA

    Anqi Luo & Lee A. Birnbaum

  2. Department of Neurology, Methodist Hospital, Weill Cornell Medical College, Houston, TX, USA

    Vivek Misra

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  1. Anqi Luo
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  2. Vivek Misra
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Correspondence to Lee A. Birnbaum .

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Editors and Affiliations

  1. Neurology and Psychiatry, Saint Louis University, Saint Louis, MO, USA

    Randall C. Edgell

  2. Department of Neurology, Saint Louis University, St. Louis, MO, USA

    Kara M. Christopher

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Luo, A., Misra, V., Birnbaum, L.A. (2022). Endovascular Reperfusion of Acute Large Vessel Occlusion Stroke. In: Edgell, R.C., M. Christopher, K. (eds) Neurointervention in the Medical Specialties. Current Clinical Neurology. Humana, Cham. https://doi.org/10.1007/978-3-030-87428-5_7

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  • DOI: https://doi.org/10.1007/978-3-030-87428-5_7

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