A case-based guide to the interventional management of stroke from leading international experts!
Stroke is the most prevalent cerebrovascular emergency, impacting an estimated 15 million people worldwide every year. Endovascular treatment (EVT) of ischemic stroke has expanded at an unforeseen pace, with EVT the most common neurointerventional procedure performed at most large centers. Endovascular Management of Ischemic Stroke: A Case-Based Approach by renowned stroke pioneer Vitor Mendes Pereira and distinguished co-editors features contributions from a "who's who" of global experts. This practical resource provides straightforward guidance for clinicians who need to learn and master state-of-the-art endovascular interventions reflecting the new, evidenced-based treatment paradigm for acute stroke.
This carefully crafted reference takes readers on a journey from the early building blocks that led to modern stroke interventions to meticulous step-by-step descriptions of the latest approaches. Fifty high-yield cases mirror real-life scenarios trainees and professionals are likely to encounter in clinical practice. Seven sections encompass a full spectrum of diverse patient presentations, anatomical variations, advanced techniques, complex pathologies, complications, and stroke mimics.
Key Highlights
- Discussion of emerging techniques likely to stand the test of time such as SAVE, ARTS, transradial access, and transcarotid access
- Stroke mimics important for differential diagnoses, including hemiplegic migraine, MELAS, RCVS, seizure, and more
- An appendix that covers fundamental terms, trials, and tools
This cutting-edge resource is essential reading for trainee and early-career interventionalists, as well as seasoned practitioners in interventional radiology, neuroradiology, endovascular neurosurgery, and interventional neurology.
This book includes complimentary access to a digital copy on https://medone.thieme.com.
<p><strong>I Evolution of Endovascular Management</strong><br>1 Intra-arterial Tissue Plasminogen Activator: The First Steps<br>2 Transcatheter MERCI Clot Retrieval: The Early Generation<br>3 Penumbra Clot Aspiration Technique: The Dark Days<br>4 Trevo Stent-Retriever Thrombectomy: Light on the Horizon<br>5 Solitaire Stent-Retriever Thrombectomy: Building the Evidence<br><strong>II Case Selection</strong><br>6 Timing in Stroke and the Tissue Clock<br>7 Role of Leptomeningeal Collaterals<br>8 Importance of Clot Burden and Clot Location<br>9 ASPECTS: When Not to Treat<br>10 Microbleeds Are Not a Contraindication to Thrombolysis in Acute Stroke<br>11 Stroke Etiologies: Hemodynamic, Embolic, and Perforator Stroke<br>12 Endovascular Therapy in a Patient with a Proximal MCA Occlusion and No Neurological Deficits<br>13 MRI in Stroke (Core Size, Mismatch, and New Advances)<br><strong>III Fundaments and Standard Approaches</strong><br>14 The Classical Setup: Carotid-T with Balloon<br>15 M1 Anatomy and Role of Perforators in Outcome<br>16 Basilar Artery Occlusion<br>17 ADAPT Technique for Acute Ischemic Stroke Thrombectomy<br>18 General Anesthesia in Thrombectomy<br>19 Conscious Sedation in Thrombectomy<br>20 Endovascular Therapy for Patients with an Isolated M2 Occlusion<br><strong>IV Advanced Techniques</strong><br>21 Percutaneous Radial Arterial Access for Thrombectomy<br>22 Percutaneous Transcarotid Endovascular Thrombectomy for Acute Ischemic Stroke<br>23 Distal Access Catheter Technique without Balloon Assistance<br><strong>V Complex Cases</strong><br>24 Tandem Lesions<br>25 Pseudo-occlusion<br>26 Underlying Intracranial Stenosis<br>27 Intracranial Dissection<br>28 Hyperacute Extracranial Angioplasty and Stenting: When and How<br>29 Failed Mechanical Thrombectomy: What to Do Next<br>30 Rescue Permanent Stenting<br>31 Acute Dissection with Hemodynamic Infarctions<br>32 The SAVE Technique<br>33 Aspiration-Retriever Technique for Stroke (ARTS)<br><strong>VI Complications</strong><br>34 Clot Migration with Emboli to Distal Territories<br>35 Endothelial Damage<br>36 Management of Vessel Perforation during Stroke Intervention<br>37 Arterial Access Complications<br>38 Intraprocedural Vasospasm during Thrombectomy<br>39 Hemorrhagic Transformation after Endovascular Stroke Therapy<br>40 Endovascular Treatment of Cerebral Venous Thrombosis<br>41 Endovascular Thrombectomy for Pediatric Acute Ischemic Stroke<br><strong>VII Stroke Mimics and Rare Causes</strong><br>42 Hemiplegic Migraine<br>43 Intra-arterial Contrast Injection during Computed Tomography Angiography<br>44 Mitochondrial Encephalomyopathy, Lactic Acidosis, and Stroke-Like Episodes (MELAS)<br>45 Reversible Cerebral Vasoconstriction Syndrome<br>46 Acute Ischemic Stroke Secondary to Cardiac Myxoma Embolus<br>47 Seizure<br>48 Cerebral Amyloid Angiopathy<br>49 Contrast Staining Masquerading as Hemorrhage<br>50 HaNDL<br>51 Appendix: Essential Terms, Trials, and Tools</p>
