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Neurothrombectomy devices for treatment of acute ischemic stroke

Author(s):
Baker, William L, PharmD
United States Agency for Healthcare Research and Quality
Title(s):
Neurothrombectomy devices for treatment of acute ischemic strokeĀ [electronic resource] / investigators, William L Baker ... [et al.].
Series:
Comparative effectiveness technical briefs ; no. 4
AHRQ publication ; no. 11-EHC020-EF
AHRQ comparative effectiveness reviews
Country of Publication:
United States
Publisher:
Rockville, MD : Agency for Healthcare Research and Quality, [2011]
Language:
English
Electronic Links:
http://www.ncbi.nlm.nih.gov/books/NBK52900
Summary:
Acute ischemic strokes are associated with poor outcomes and high healthcare burden. In patients with occlusions of large cerebral vessels, patients with high baseline stroke severity scores as defined by the National Institute of Health Stroke Score (NIHSS), and patients unlikely to benefit or having failed treatment with intravenous (IV) recombinant tissue plasminogen activator (rtPA), there is a need for alternative methods of revascularization which can improve outcomes without increasing the risk for intracranial hemorrhage. The uses of various neurothrombectomy devices (clot retrievers, aspiration/suction devices, snare-like devices, ultrasonography technologies, and lasers) have been examined in these populations. Currently, two neurothrombectomy devices are FDA-cleared through the FDA 510(k) process: the MERCI clot retriever and the Penumbra System. Various ongoing clinical trials are currently evaluating the impact of these devices, as well as other (off-label) neurothrombectomy devices, for the treatment of acute ischemic stroke. The goal of this technical brief is to describe neurothrombectomy devices currently being used or actively investigated in the treatment of patients with acute ischemic stroke and to summarize the evidence supporting their use.
MeSH:
Brain Ischemia/surgery
Stroke/surgery*
Thrombectomy/instrumentation
Notes:
Title from table of contents Web page.
Includes bibliographical references.
Prepared for: Agency for Healthcare Research and Quality, U.S. Department of Health and Human Services, 540 Gaither Road, Rockville, MD 20850; www.ahrq.gov Contract No. 290-2007-10067-I. Prepared by: University of Connecticut/Hartford Hospital Evidence-based Practice Center (EPC).
Mode of access: World Wide Web.
NLM ID:
101557960 [Electronic Resource]

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