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 recanaliza
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Acute Ischemic Stroke Medical, Endovascular, and Surgical Techniques
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Acute Ischemic Stroke
Jaechan Park Editor
Acute Ischemic Stroke Medical, Endovascular, and Surgical Techniques
Editor Jaechan Park Department of Neurosurgery Kyungpook National University Hospital Daegu Republic of Korea
ISBN 978-981-10-0964-8 ISBN 978-981-10-0965-5 (eBook) DOI 10.1007/978-981-10-0965-5 Library of Congress Control Number: 2017936670 © Springer Science+Business Media Singapore 2017 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. Printed on acid-free paper This Springer imprint is published by Springer Nature The registered company is Springer Nature Singapore Pte Ltd. The registered company address is: 152 Beach Road, #21-01/04 Gateway East, Singapore 189721, Singapore
Preface
Many important advances have occurred in the treatment of acute ischemic stroke for the past two decades. The NINDS clinical trial of thrombolysis using recombinant tissue-type plasminogen activator (rtPA), which was published in 1995, established medical treatment of acute ischemic stroke within 3 h of stroke onset. Ten years later, MERCI clinical trial using a MERCI mechanical thrombectomy retriever opened the endovascular era for acute stroke management within 8 h of stroke onset. Since then, the therapeutic time window for rtPA has been extended to 4.5 h after stroke onset based on the ECASS III clinical trial, and various catheter-based and stent-based endovascular thrombectomy devices were developed. Currently, interdisciplinary management including medical, endovascular, and surgical methods is required to provide the best management for acute ischemic patients. This book approaches the topic of management of acute ischemic stroke in an interdisciplinary manner, explaining how best to utilize the methods currently available for medical, surgical, and endovascular care. After an
