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Mechanical Thrombectomy in Acute Ischemic Stroke

Revascularization with stent retriever and aspiration thrombectomy in large vessel occlusion.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Nöroloji department. Book Appointment →

What is Mechanical Thrombectomy in Acute Ischemic Stroke?

Acute ischemic stroke is a neurological emergency that occurs as a result of sudden occlusion of a vessel feeding the brain and must be treated under time pressure.

Mechanical thrombectomy is the procedure of accessing the occluded vessel by entering through the groin vessel with a catheter and removing the clot with a stent retriever or aspiration device.

It can be applied with or without thrombolysis in selected patients; the presence of salvageable tissue (penumbra) on brain imaging is among the most important indication criteria.

Symptoms

Sudden-onset unilateral weakness
Speech disorder (aphasia and dysarthria)
Facial droop and asymmetry
Visual field loss
Sudden balance and coordination loss
Sudden-onset double vision
Consciousness changes and confusion

Risk Factors

Hypertension and diabetes
Atrial fibrillation
Smoking and excessive alcohol consumption
High cholesterol
Obesity and sedentary lifestyle
History of previous stroke or transient ischemic attack
Carotid artery disease

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Call 112 immediately when FAST criteria (face, arm, speech disorder) are positive
  • Sudden headache, imbalance, and nausea
  • Sudden double vision and balance loss
  • Suspected transient ischemic attack
  • Unexplained consciousness change
  • New neurological findings noticed upon waking

Treatment Methods

01
Rapid triage and emergency brain CT, CT angiography, CT perfusion imaging
02
Intravenous thrombolysis (tenecteplase or alteplase) for eligible patients
03
Mechanical thrombectomy that can extend up to 24 hours in large vessel occlusion
04
Thrombus removal with stent retriever and/or aspiration catheter
05
Blood pressure, glucose, and temperature control in neuro-intensive care
06
Antithrombotic therapy, secondary prevention, and risk factor management
07
Early mobilization and multidisciplinary neurorehabilitation

Which Department to Visit?

You can visit our Nöroloji department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

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You can make an appointment with our specialists or contact us for your concerns.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.