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• W1699123912 abstract "Intravenous thrombolysis was the only proven effective reperfusion therapy for acute ischemic stroke within 4h30 until December 2014. Stroke management has been revolutionized after the publication of the recent positive trials, such as MR CLEAN, ESCAPE, EXTEND-IA, SWIFT PRIME, REVASCAT, and THRACE. Each of these demonstrates a clear benefit of stent retriever thrombectomy in association with thrombolysis in acute stroke patients with a documented occlusion of the distal internal carotid or the proximal middle cerebral artery within 6 h of symptoms onset. According to the initial selection, the number of patients to be treated by thrombectomy in order to have one independent patient varies from 3 to 8.To guarantee these results, thrombectomy should be performed by an interventional neuroradiologist within 60–90 min after imaging confirmation, which requires a very fast transfer of patients to hospitals, where interventional neuroradiology is available without delaying thrombolysis. Samu plays a key role in this. In case of contraindication to thrombolysis, early primary thrombectomy should also be considered within 6 h of last seen normal. In acute basilar artery occlusion, thrombectomy should be performed alone or combined with thrombolysis. A close cooperation between all the teams is crucial with the goal of gaining maximum time to the patient." @default.
• W1699123912 created "2016-06-24" @default.
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• W1699123912 date "2015-09-22" @default.
• W1699123912 modified "2023-09-25" @default.
• W1699123912 title "Thrombectomie mécanique de l’infarctus cérébral : pourquoi une prise en charge ultrarapide est nécessaire ?" @default.
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• W1699123912 doi "https://doi.org/10.1007/s13341-015-0571-2" @default.
• W1699123912 hasPublicationYear "2015" @default.
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