| Naslov: | Mechanical recanalization for acute bilateral cerebral artery occlusion - literature overview with a case |
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| Avtorji: | ID Jeromel, Miran (Avtor)
ID Miloševič, Zoran (Avtor)
ID Pretnar-Oblak, Janja (Avtor) |
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| Datoteke: |  URL - Izvorni URL, za dostop obiščite https://content.sciendo.com/view/journals/raon/54/2/article-p144.xml
 PDF - Predstavitvena datoteka, prenos (624,29 KB)
MD5: 767ACC3B11732D8DCDFE531F13C79EFB
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| Jezik: | Angleški jezik |
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| Tipologija: | 1.02 - Pregledni znanstveni članek |
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| Organizacija: |  OI - Onkološki inštitut Ljubljana
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| 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. |
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| Ključne besede: | acute bilateral stroke, mechanical recanalization, thrombectomy |
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| Status publikacije: | Objavljeno |
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| Verzija publikacije: | Objavljena publikacija |
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| Datum objave: | 01.06.2020 |
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| Založnik: | Association of Radiology and Oncology |
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| Leto izida: | 2020 |
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| Št. strani: | str. 144-148, I |
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| Številčenje: | Vol. 54, no. 2 |
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| Izvor: | Ljubljana |
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| PID: | 20.500.12556/DiRROS-19288  |
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| UDK: | 616.8 |
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| ISSN pri članku: | 1318-2099 |
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| DOI: | 10.2478/raon-2020-0017 |
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| COBISS.SI-ID: | 19035907 |
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| Avtorske pravice: | by Authors |
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| Datum objave v DiRROS: | 12.07.2024 |
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| Število ogledov: | 380 |
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| Število prenosov: | 158 |
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| Metapodatki: |    |
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