Search
carotid/subclavian/innominate thrombectomy
Indications:
- carotid artery thrombosis
- subclavian artery thrombosis
- brachiocephalic artery thrombosis
Benefit/risk:
- endovascular thrombectomy within 12 hours after symptom onset (stroke) significantly reduces 90-day disability, with a number-needed-to-treat of 2.6 patients to reduce disability on the modified Rankin Scale by at least 1 point in 1 patient [1]
- for up to 24 hours after symptom onset in eligible patients with ischemic stroke* [3]
- Trevo clot retrieval device FDA-approved [4]
General
subclavian/innominate thrombectomy
References
- Goyal M, Menon BK, van Zwam WH et al.
Endovascular thrombectomy after large-vessel ischaemic stroke:
A meta-analysis of individual patient data from five
randomised trials.
Lancet 2016 Feb 18
PMID: 26898852
- Dippel DWJ
Thrombectomy Options for Acute Ischemic Stroke.
Which Way to Go?
JAMA Neurol. Published online Jan 2, 2018.
PMID: 29297050
https://jamanetwork.com/journals/jamaneurology/article-abstract/2666951
- Powers WJ, Rabinstein AA, Ackerson T et al
2018 Guidelines for the Early Management of Patients With Acute
Ischemic Stroke: A Guideline for Healthcare Professionals From
the American Heart Association/American Stroke Association.
Stroke. 2018; Jan 24
PMID: 29367334
http://stroke.ahajournals.org/content/early/2018/01/23/STR.0000000000000158
- Furie KL, Jayaraman MV
2018 Guidelines for the Early Management of Patients With
Acute Ischemic Stroke.
PMID: 29367335
http://stroke.ahajournals.org/content/early/2018/01/24/STROKEAHA.118.020176
- FDA News Release. Feb 15, 2018
FDA expands treatment window for use of clot retrieval devices in
certain stroke patients.
https://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm596983.htm