Despite numerous successful stroke prevention methods, the stroke epidemic continues to be the main cause of long-term impairment. A paradigm shift and new era in acute stroke care were ushered in by the recent series of well-designed, overwhelmingly positive randomised controlled trials using endovascular thrombectomy in stroke patients with major artery blockage. The current review presents the most recent data from randomised trials about the procedure’s efficacy and safety and examines its implications for the management of acute stroke therapy. It also analyses patient selection criteria.
A common health problem that needs rapid medical intervention is blood clots. Stroke can result from a blood clot that restricts or reduces blood flow to the brain. Mechanical thrombectomy is a brand-new, minimally invasive technique that has been created to remove clots from the brain and other areas of the body.
An interventional radiologist utilises specialised equipment during a thrombectomy, a form of minimally invasive treatment, to remove a clot from a patient’s artery. In order to remove the clot all at once, the doctor uses fluoroscopy, or continuous x-ray, to direct instruments into the patient’s arteries to the clot.
The current review presents the most recent data from randomised trials about the procedure’s efficacy and safety and examines its implications for the management of acute stroke therapy. It also analyses patient selection criteria.
The patient’s clinical status, the time of presentation, and the imaging characteristics are significant aspects of the patient’s presentation that have an impact on EVT decisions.
Techniques of Endovascular Thrombectomy
In 2008, stent-like thrombectomy devices—now known as stent retrievers—were used to treat acute stroke interventionally for the first time. 23,24 Recent EVT RCTs used these devices to treat the bulk of their patients, but older devices were used in earlier neutral EVT RCTs, which was thought to be one of the reasons why these trials were unable to detect any positive effects of EVT. Stent retrieval devices can be substituted with the aspiration approach.
Choose a Hospital That Performs Mechanical Thrombectomy
According to studies, individuals who have a mechanical thrombectomy heal more quickly and have a higher quality of life than those who only receive clot-busting (or tissue plasminogen activators). Given the seriousness of blood clots as a medical problem, prompt and efficient care is crucial.
Mechanical thrombectomies, like all medical procedures, aren’t right for everyone. In an emergency, be aware that a mechanical thrombectomy is a possibility if it is insufficient to remove a clot.