การรักษาโรคหลอดเลือดสมองด้วยวิธี Mechanical Thrombectomy
Ischemic stroke occurs when blood supply to the brain is interrupted or reduced, depriving brain tissue of oxygen and nutrition. This leads to damage or death of brain cells.
Mechanical thrombectomy is indicated for patients with acute ischemic stroke due to a large artery occlusion in the anterior circulation who can be treated within 24 hours of the time last known to be well.
Patients eligible for intravenous thrombolysis treatment should receive intravenous thrombolysis even if endovascular treatments are being considered and patients should receive endovascular therapy with a stent retriever if they meet all the following criteria:
General anesthesia or conscious sedation may be used for the procedure. Catheterization is performed with a femoral artery puncture. The catheter is guided to the internal carotid artery and beyond to the site of the intracranial large artery occlusion with the use of radioactive substances. The stent retriever is then inserted through the catheter to reach the clot. The stent retriever is deployed and grabs the clot, which is removed as the device is pulled back.
From meta-analysis, the patient receiving mechanical thrombectomy has 20% higher rate (1.6 times) of functional independence when compared to standard treatment without mechanical thrombectomy.
No standard alternative treatment other than mechanical thrombectomy in patient eligible for mechanical thrombectomy.
Related conditions
แพทย์ที่เกี่ยวข้อง
ศูนย์รักษาที่เกี่ยวข้อง
CALL FOR APPOINTMENT
SEND AN INQUIRY
BOOK APPOINTMENT