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Mechanical Thrombectomy with Stent Retrievers in Acute Ischemic Stroke

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Abstract

Mechanical thrombectomy (MTE) in patients with acute ischemic infarct caused by large-vessel occlusion is becoming used with increasing frequency in many stroke centers. With the introduction of stent retrievers, recanalization rates >80 % are reached by most operators. However, although the technical success rate of MTE has been increased, clinical results have not improved to the same degree. In this review, the indications for MTE, the technique, and the technical and clinical outcomes are discussed. Complications and predictors for good clinical outcome are described based on recent data from the literature.

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Conflict of interest

Klaus A. Hausegger: Payment from third parties to the department to support research: General Electrics, Medtronic, Philips. Travel support: Cordis; ev3; Abboth, CIRSE. Payment for lecture: Medical University Graz; Thomas Kau Received travel support from Bayer-Schering, Bracco; General Electrics, ev3, Guerbet, Novomed, Stryker, Philips, Siemens. Michael Hauser declares no conflict of interest.

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  1. Department of Diagnostic and Interventional Radiology, Klinikum Klagenfurt, Feschnigstrasse 11, 9020, Klagenfurt, Austria

    Klaus A. Hausegger, Michael Hauser & Thomas Kau

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  1. Klaus A. Hausegger
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Hausegger, K.A., Hauser, M. & Kau, T. Mechanical Thrombectomy with Stent Retrievers in Acute Ischemic Stroke. Cardiovasc Intervent Radiol 37, 863–874 (2014). https://doi.org/10.1007/s00270-013-0825-6

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