[Therapeutic interventional neuroradiology in acute stroke].
Interventional neuroradiological techniques are described, which are used for revascularisation of the intra-extracranial vessels in acute stroke. The results are based on our experience gained during the endovascular treatment of more than 300 patients suffering from acute stroke during the last years. Indication, procedures and results of intraarterial thrombolysis, thrombo-aspiration, percutaneous transluminal angioplasty, and implantation of stents in cases of occlusion or pseudoocclusion of brain supplying vessels are discussed. Furthermore first experiences with new techniques from other centers are presented, e.g., thrombolysis by ultrasound (sonothrombolysis), by angiojet aspiration, and laser evaporation of the thromboembolic occlusion of intra- and extracranial blood vessels.
Abteilung für Neuroradiologie-DRNN-Departement Radiologie, Neuroradiologie, Nuklearmedizin, Universität Bern im Inselspital, CH-3010 Bern. gerhard.schroth@insel.ch
G
G
Schroth
A
A
Berlis
T
T
Mayer
L
L
Remonda
C
C
Brekenfeld
C
C
Ozdoba
R
R
Wiest
J
J
Slotboom
D000208:Acute Disease; D000328:Adult; D000368:Aged; D000792:Angiography; D000818:Animals; D002340:Carotid Artery Diseases / Q000150:complications / Q000175:diagnosis / Q000000981:diagnostic imaging; D002533:Cerebral Angiography; D002548:Cerebral Revascularization; D018849:Controlled Clinical Trials as Topic; D005260:Female; D005343:Fibrinolytic Agents / Q000008:administration & dosage / Q000627:therapeutic use; D005500:Follow-Up Studies; D006801:Humans; D007036:Hypothermia, Induced; D020766:Intracranial Embolism / Q000628:therapy; D020767:Intracranial Thrombosis / Q000628:therapy; D053685:Laser Therapy; D008279:Magnetic Resonance Imaging; D008297:Male; D015201:Meta-Analysis as Topic; D008875:Middle Aged; D015337:Multicenter Studies as Topic; D010919:Placebos; D010960:Plasminogen Activators / Q000008:administration & dosage / Q000627:therapeutic use; D011379:Prognosis; D015642:Radiology, Interventional; D020521:Stroke / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D015912:Thrombolytic Therapy; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D014464:Ultrasonic Therapy; D014568:Urokinase-Type Plasminogen Activator / Q000008:administration & dosage / Q000627:therapeutic use
D005343:Fibrinolytic Agents; D010919:Placebos; D010960:Plasminogen Activators; D014568:Urokinase-Type Plasminogen Activator