Title

Biomechanics and hemodynamics of stent-retrievers

UMMS Affiliation

New England Center for Stroke Research; Department of Radiology

Publication Date

2020-05-19

Document Type

Article

Disciplines

Analytical, Diagnostic and Therapeutic Techniques and Equipment | Biomechanics and Biotransport | Cardiovascular Diseases | Nervous System Diseases | Neurology | Neurosurgery | Radiology

Abstract

In 2015, multiple randomized clinical trials showed an unparalleled treatment benefit of stent-retriever thrombectomy as compared to standard medical therapy for the treatment of a large artery occlusion causing acute ischemic stroke. A short time later, the HERMES collaborators presented the patient-level pooled analysis of five randomized clinical trials, establishing class 1, level of evidence A for stent-retriever thrombectomy, in combination with intravenous thrombolysis when indicated to treat ischemic stroke. In the years following, evidence continues to mount for expanded use of this therapy for a broader category of patients. The enabling technology that changed the tide to support endovascular treatment of acute ischemic stroke is the stent-retriever. This review summarizes the history of intra-arterial treatment of stroke, introduces the biomechanics of embolus extraction with stent-retrievers, describes technical aspects of the intervention, provides a description of hemodynamic implications of stent-retriever embolectomy, and proposes future directions for a more comprehensive, multi-modal endovascular approach for the treatment of acute ischemic stroke.

Keywords

endovascular, stent-retriever, Acute ischemic stroke, large vessel occlusion, thrombectomy

DOI of Published Version

10.1177/0271678X20916002

Source

Kühn AL, Vardar Z, Kraitem A, King RM, Anagnostakou V, Puri AS, Gounis MJ. Biomechanics and hemodynamics of stent-retrievers. J Cereb Blood Flow Metab. 2020 May 19:271678X20916002. doi: 10.1177/0271678X20916002. Epub ahead of print. PMID: 32428424. Link to article on publisher's site

Journal/Book/Conference Title

Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism

Related Resources

Link to Article in PubMed

PubMed ID

32428424

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