Transarterial embolectomy in acute stroke

AJNR Am J Neuroradiol. 2003 May;24(5):892-4.


Background and purpose: An embolus causing cerebral ischemia is a major cause of death and disability, and the search for methods to reestablish blood flow is of major importance. A technique for the emergent primary treatment of cerebral emboli causing stroke is presented in detail.

Methods: The method developed implies the mechanical extraction of the embolus with a standard vascular retrieval snare via the endovascular route without the use of thrombolytic agents.

Results: Five consecutive patients were treated to extract an embolus. All patients had substantial improvement in their clinical status. No revascularization hemorrhages occurred.

Conclusion: In this small series, the embolectomy method described was reproducible, rapid, and safe. It may offer an alternative to other methods of vascular recanalization.

MeSH terms

  • Adult
  • Aged
  • Catheterization
  • Cerebral Angiography
  • Cerebral Arteries
  • Embolectomy / methods*
  • Female
  • Humans
  • Intracranial Embolism / complications
  • Intracranial Embolism / diagnostic imaging
  • Intracranial Embolism / therapy*
  • Male
  • Middle Aged
  • Radiography, Interventional
  • Stroke / etiology*