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Intra-arterial Thrombolysis in Acute Ischemic Stroke

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Neurointervention in the Medical Specialties

Part of the book series: Current Clinical Neurology ((CCNEU))

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Abstract

Acute stroke treatment has evolved rapidly in the last two decades with systemic thrombolysis and endovascular interventions for intracranial large artery occlusions. Neurointerventional techniques to achieve reperfusion in ischemic stroke initially involved local intra-arterial infusion of thrombolytic agents. The subsequent development of mechanical thrombectomy devices has resulted in better and faster arterial recanalization while maintaining patient safety. This approach has recently taken a large step forward with the introduction of “stent retriever” technology. In this chapter we discuss various endovascular recanalization techniques in acute ischemic stroke with illustrative cases.

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Author information

Authors and Affiliations

  1. Department of Neurology, University of Texas Health Science Center, 8300 Curl Drive, San Antonio, TX, 78229, USA

    Vivek Misra M.D.

  2. Department of Neurology, University of Texas Health Science Center, 8300 Floyd Curl Dr., MSC 7883, San Antonio, TX, 78229, USA

    Lee A. Birnbaum M.D., M.S.

Authors
  1. Vivek Misra M.D.
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  2. Lee A. Birnbaum M.D., M.S.
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Corresponding author

Correspondence to Vivek Misra M.D. .

Editor information

Editors and Affiliations

  1. Department of Neurology and Psychiatry, Saint Louis University, St. Louis, Missouri, USA

    Randall C. Edgell

  2. Department of Neurology, University of Texas Health Science Center, UT-HEALTH, Houston, Texas, USA

    Sean I. Savitz

  3. Department of Neurosurgery, Albany Medical Center, Albany, New York, USA

    John Dalfino

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Misra, V., Birnbaum, L.A. (2015). Intra-arterial Thrombolysis in Acute Ischemic Stroke. In: Edgell, R., Savitz, S., Dalfino, J. (eds) Neurointervention in the Medical Specialties. Current Clinical Neurology. Humana Press, New York, NY. https://doi.org/10.1007/978-1-4939-1942-0_7

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  • DOI: https://doi.org/10.1007/978-1-4939-1942-0_7

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  • Publisher Name: Humana Press, New York, NY

  • Print ISBN: 978-1-4939-1941-3

  • Online ISBN: 978-1-4939-1942-0

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