title: The Penumbra Stroke System: a technical review.
abstract: Major ischemic strokes secondary to proximal artery occlusions are responsible for significant morbidity and mortality. Owing to extensive clot burden, these strokes are poorly responsive to intravenous tissue plasminogen activator. The introduction of endovascular therapy, particularly mechanical devices, has resulted in markedly improved recanalization rates of large vessel occlusions. With increasing experience with the Penumbra Stroke System and the 054 reperfusion catheter, there has been further improvement in TIMI 2 and 3 revascularization rates with faster times to vessel opening. The aim of this technical review is to convey various tips and tricks learnt from this experience.
authors: Department of Interventional and Diagnostic Neuroradiology, Massachusetts General Hospital, Boston, Massachusetts 02214, USA. ajyoo@partners.org
authors: Albert J
authors: AJ
authors: Yoo
authors: Don
authors: D
authors: Frei
authors: Satoshi
authors: S
authors: Tateshima
authors: Aquilla S
authors: AS
authors: Turk
authors: Ferdinand K
authors: FK
authors: Hui
authors: Allan L
authors: AL
authors: Brook
authors: Don V
authors: DV
authors: Heck
authors: Joshua A
authors: JA
authors: Hirsch
mesh_terms: D000800:Angioplasty, Balloon; D002545:Brain Ischemia / Q000601:surgery*; D057785:Catheters; D002548:Cerebral Revascularization / Q000379:methods; D002560:Cerebrovascular Circulation / Q000502:physiology; D003018:Clot Retraction; D057510:Endovascular Procedures / Q000295:instrumentation*; D006801:Humans; D015424:Reperfusion; D020521:Stroke / Q000601:surgery*; D016896:Treatment Outcome