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January 2013, Volume 43 Number 1 , p 69 - 69


  • Wendi Rank MSN, RN, CNRN, CRNP


Can you explain the application of mechanical thrombectomy devices in patients with acute ischemic stroke?- A.P., IND.Wendi Rank, MSN, RN, CNRN, CRNP, replies: Acute ischemic stroke (AIS) affects over 750,000 people each year and is the third leading cause of death in this country.1,2 It's also a leading cause of disability. Management of AIS has evolved to include intracranial endovascular neurointerventional procedures for select patients. The availability of these therapies has led the American Heart Association (AHA) to recommend that acute stroke care focus on rapidly identifying AIS, with the goal of improving patient outcomes.3One important development in the treatment of patients with AIS is endovascular mechanical clot extraction. In these procedures, the patient with AIS undergoes cerebral angiography to identify the site of arterial occlusion. Once the thrombus is located, a thrombectomy device can be advanced to the site under fluoroscopic guidance to remove the thrombus and

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