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Endovascular Management of Ischemic Stroke: A Case-Based Approach

Endovascular Management of Ischemic Stroke: A Case-Based Approach

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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 whos 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.

Product Details
Georg Thieme

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215.27 x 280.04
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  • I Evolution of Endovascular Management
    1 Intra-arterial Tissue Plasminogen Activator: The First Steps
    2 Transcatheter MERCI Clot Retrieval: The Early Generation
    3 Penumbra Clot Aspiration Technique: The Dark Days
    4 Trevo Stent-Retriever Thrombectomy: Light on the Horizon
    5 Solitaire Stent-Retriever Thrombectomy: Building the Evidence
    II Case Selection
    6 Timing in Stroke and the Tissue Clock
    7 Role of Leptomeningeal Collaterals
    8 Importance of Clot Burden and Clot Location
    9 ASPECTS: When Not to Treat
    10 Microbleeds Are Not a Contraindication to Thrombolysis in Acute Stroke
    11 Stroke Etiologies: Hemodynamic, Embolic, and Perforator Stroke
    12 Endovascular Therapy in a Patient with a Proximal MCA Occlusion and No Neurological Deficits
    13 MRI in Stroke (Core Size, Mismatch, and New Advances)
    III Fundaments and Standard Approaches
    14 The Classical Setup: Carotid-T with Balloon
    15 M1 Anatomy and Role of Perforators in Outcome
    16 Basilar Artery Occlusion
    17 ADAPT Technique for Acute Ischemic Stroke Thrombectomy
    18 General Anesthesia in Thrombectomy
    19 Conscious Sedation in Thrombectomy
    20 Endovascular Therapy for Patients with an Isolated M2 Occlusion
    IV Advanced Techniques
    21 Percutaneous Radial Arterial Access for Thrombectomy
    22 Percutaneous Transcarotid Endovascular Thrombectomy for Acute Ischemic Stroke
    23 Distal Access Catheter Technique without Balloon Assistance
    V Complex Cases
    24 Tandem Lesions
    25 Pseudo-occlusion
    26 Underlying Intracranial Stenosis
    27 Intracranial Dissection
    28 Hyperacute Extracranial Angioplasty and Stenting: When and How
    29 Failed Mechanical Thrombectomy: What to Do Next
    30 Rescue Permanent Stenting
    31 Acute Dissection with Hemodynamic Infarctions
    32 The SAVE Technique
    33 Aspiration-Retriever Technique for Stroke (ARTS)
    VI Complications
    34 Clot Migration with Emboli to Distal Territories
    35 Endothelial Damage
    36 Management of Vessel Perforation during Stroke Intervention
    37 Arterial Access Complications
    38 Intraprocedural Vasospasm during Thrombectomy
    39 Hemorrhagic Transformation after Endovascular Stroke Therapy
    40 Endovascular Treatment of Cerebral Venous Thrombosis
    41 Endovascular Thrombectomy for Pediatric Acute Ischemic Stroke
    VII Stroke Mimics and Rare Causes
    42 Hemiplegic Migraine
    43 Intra-arterial Contrast Injection during Computed Tomography Angiography
    44 Mitochondrial Encephalomyopathy, Lactic Acidosis, and Stroke-Like Episodes (MELAS)
    45 Reversible Cerebral Vasoconstriction Syndrome
    46 Acute Ischemic Stroke Secondary to Cardiac Myxoma Embolus
    47 Seizure
    48 Cerebral Amyloid Angiopathy
    49 Contrast Staining Masquerading as Hemorrhage
    50 HaNDL
    51 Appendix: Essential Terms, Trials, and Tools

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