Continuing Medical Education

Mechanical thrombectomy for acute ischaemic stroke

R Harrichandparsad

Abstract


Rapid, safe and effective arterial recanalisation to restore blood flow and improve functional outcome is the primary goal of hyperacute management of acute ischaemic stroke. This is possible either through thrombolysis or direct mechanical removal of clot from the blocked artery. Current evidence from randomised controlled trials shows that, for correctly selected patients, functional independence can be achieved in 32 - 71% of those who undergo clot removal. It is estimated that 10 - 15% of all ischaemic stroke patients have large-vessel occlusion and qualify for mechanical thrombectomy. It is important to have systems in place to identify and treat these patients.


Author's affiliations

R Harrichandparsad, Department of Neurosurgery, College of Health Sciences, University of KwaZulu-Natal and Inkosi Albert Luthuli Central Hospital, Durban, South Africa

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Keywords

Mechanical thrombectomy; Acute ischaemic stroke

Cite this article

South African Medical Journal 2019;109(2):77-80. DOI:10.7196/SAMJ.2019.v109i2.00010

Article History

Date submitted: 2019-01-31
Date published: 2019-01-31

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