Surgical Embolectomy for Acute Ischemic Stroke



This chapter focuses on the role of a surgical embolectomy in the multidisciplinary management of an acute ischemic stroke, especially in cases of occlusion of the internal carotid artery (ICA) or middle cerebral artery (MCA). When endovascular recanalization therapy fails, a surgical embolectomy may be an efficient rescue treatment if the patient is still within the therapeutic time window for restoring the cerebral blood flow. This surgical option is based on the author’s clinical experience. A minimally invasive and rapid surgical embolectomy (MIRSE) using a superciliary or supraorbital keyhole approach is a direct and straightforward approach that provides rapid access to the circle of Willis and the occluded vascular lesion. Advancements in surgical techniques to reduce the operative time, effective recanalization of the occluded vessels, and positive surgical results are all presented.


Internal Carotid Artery Middle Cerebral Artery Acute Ischemic Stroke Sylvian Fissure Therapeutic Time Window 
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Copyright information

© Springer Science+Business Media Singapore 2017

Authors and Affiliations

  1. 1.Department of Neurosurgery, Research Center for Neurosurgical Robotic SystemsKyungpook National UniversityDaeguRepublic of Korea

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