HERMES: messenger for stroke interventional treatment

Muir, Keith W.; White, Phil

doi:10.1016/s0140-6736(16)00351-2

Cited by 15 publications

(8 citation statements)

References 13 publications

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“…Mechanical thrombectomy has been shown to be effective for acute ischaemic stroke;5 however, a thrombectomy for an acute occlusion of the PComA has not been established. The average diameter of the PComA is reported to be 1.3 mm (0.3–3.1 mm) 6.…”

Section: Discussionmentioning

confidence: 99%

Pure posterior communicating artery occlusion treated with mechanical thrombectomy

2017

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There has been no report of mechanical thrombectomy for a pure posterior communicating artery (PComA) occlusion. Here, we report the case of an 87-year-old woman with a disturbance of consciousness and left hemiparesis diagnosed with a right PComA occlusion. The patient was successfully treated using mechanical thrombectomy in combination with a stent retriever and the Penumbra system. A CT perfusion image showed cerebral blood flow reduction in the ipsilateral occipital lobe and thalamus. A CT angiography supported the diagnosis of an occlusion of fetal type PComA. The PComA could not be detected by internal carotidangiogram, but after deployment of stent retriever, the PComA was recanalised and distal embolus at the right posterior cerebral artery was visualised. The thrombus was then removed using the Penumbra system. Although the treatment for a PComA occlusion requires further investigation, the present case supports a thrombectomy as an effective rescue strategy for PComA occlusions.

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Section: Discussionmentioning

confidence: 99%

Pure posterior communicating artery occlusion treated with mechanical thrombectomy

2017

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“…Elderly patients (≥80 years old) have been either excluded or under-represented in clinical trials of ET which reported conflicting evidence regarding the benefit of ET in this population 2 3 10–15. Although recent data from HERMES suggested a significant effect of ET in the elderly,14 this age group was still under-represented,16 included patients with variable selection criteria, and included data from trials preferentially favoring younger age groups in the elderly (80–85 years) 1 3. Prospective trials designed specifically to evaluate the safety and efficacy of ET in this elderly sub-population, and determine the optimal candidates for intervention, are still pending.…”

Section: Introductionmentioning

confidence: 99%

Thrombectomy for acute ischemic stroke in the elderly: a ‘real world’ experience

Alawieh

Chatterjee

Feng

et al. 2018

J NeuroIntervent Surg

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“…Endovascular therapy is a highly effective treatment for acute ischemic stroke caused by large artery occlusion in the anterior cerebral circulation, significantly increasing the likelihood of recovery to independence 1. Reperfusion of the ischemic territory downstream from an arterial occlusion is the therapeutic mechanism responsible for benefit.…”

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confidence: 99%