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American Journal of Neuroradiology 24:892-894, May 2003
© 2003 American Society of Neuroradiology

BRAIN

Transarterial Embolectomy in Acute Stroke

Gunnar Wikholm^a

^a From the Department of Interventional Neuroradiology, Sahlgrenska University Hospital, Göteborg, Sweden

Address reprint requests to Gunnar Wikholm, Interventional Neuroradiology, Sahlgrenska University Hospital, P O Box 75037, S-400 36 Göteborg, Sweden

BACKGROUND AND PURPOSE: An embolus causing cerebral ischemia is a major cause of death and disability, and the search for methods to reestablish blood flow is of major importance. A technique for the emergent primary treatment of cerebral emboli causing stroke is presented in detail.

METHODS: The method developed implies the mechanical extraction of the embolus with a standard vascular retrieval snare via the endovascular route without the use of thrombolytic agents.

RESULTS: Five consecutive patients were treated to extract an embolus. All patients had substantial improvement in their clinical status. No revascularization hemorrhages occurred.

CONCLUSION: In this small series, the embolectomy method described was reproducible, rapid, and safe. It may offer an alternative to other methods of vascular recanalization.

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