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Naslov:Mechanical recanalization for acute bilateral cerebral artery occlusion - literature overview with a case
Avtorji:ID Jeromel, Miran (Avtor)
ID Miloševič, Zoran (Avtor)
ID Pretnar-Oblak, Janja (Avtor)
Datoteke:URL URL - Izvorni URL, za dostop obiščite https://content.sciendo.com/view/journals/raon/54/2/article-p144.xml
 
.pdf PDF - Predstavitvena datoteka, prenos (624,29 KB)
MD5: 767ACC3B11732D8DCDFE531F13C79EFB
 
Jezik:Angleški jezik
Tipologija:1.02 - Pregledni znanstveni članek
Organizacija:Logo OI - Onkološki inštitut Ljubljana
Povzetek:Background. Acute bilateral internal carotid artery (ICA) and/or middle cerebral artery (MCA) occlusion is extremely rare and associated with poor clinical outcomes. There are only a few reports in the literature about mechanical thrombectomy being performed for acute bilateral occlusions. The treatment strategies and prognoses (clinical outcomes) are therefore unclear. Methods. A systematic review of the literature was performed through several electronic databases with the following search terms: acute bilateral stroke, mechanical recanalization and thrombectomy. Results. In the literature, we identified five reports of six patients with bilateral ICA and/or MCA occlusion treated with mechanical recanalization. Additionally, we report our experience with a subsequent contralateral large brain artery occlusion during intravenous thrombolytic therapy, where the outcome after mechanical thrombectomy was not dependent on the time from stroke onset but rather on the capacity of collateral circulation exclusively. Conclusions. Acute bilateral cerebral (ICA and/or MCA) occlusion leads to sudden severe neurological deficits (comas) with unpredicted prognoses, even when mechanical recanalization is available. As the collateral capacity seems to be more important than the absolute time to flow restoration in determining the outcomes, simultaneous thrombectomy by itself probably does not lead to improved functional outcomes.
Ključne besede:acute bilateral stroke, mechanical recanalization, thrombectomy
Status publikacije:Objavljeno
Verzija publikacije:Objavljena publikacija
Datum objave:01.06.2020
Založnik:Association of Radiology and Oncology
Leto izida:2020
Št. strani:str. 144-148, I
Številčenje:Vol. 54, no. 2
Izvor:Ljubljana
PID:20.500.12556/DiRROS-19288 Novo okno
UDK:616.8
ISSN pri članku:1318-2099
DOI:10.2478/raon-2020-0017 Novo okno
COBISS.SI-ID:19035907 Novo okno
Avtorske pravice:by Authors
Datum objave v DiRROS:12.07.2024
Število ogledov:608
Število prenosov:227
Metapodatki:XML DC-XML DC-RDF
:
JEROMEL, Miran, MILOŠEVIČ, Zoran in PRETNAR-OBLAK, Janja, 2020, Mechanical recanalization for acute bilateral cerebral artery occlusion - literature overview with a case. Radiology and oncology [na spletu]. 2020. Vol. 54, no. 2, p. 144–148, i. [Dostopano 18 april 2025]. DOI 10.2478/raon-2020-0017. Pridobljeno s: https://dirros.openscience.si/IzpisGradiva.php?lang=slv&id=19288
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Gradivo je del revije

Naslov:Radiology and oncology
Skrajšan naslov:Radiol. oncol.
Založnik:Slovenian Medical Society - Section of Radiology, Croatian Medical Association - Croatian Society of Radiology
ISSN:1318-2099
COBISS.SI-ID:32649472 Novo okno

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Jezik:Slovenski jezik
Ključne besede:akutna dvostranska kap, mehanska rekanalizacija, trombektomija


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