Neuro-Thrombektomie – Mechanische Rekanalisierung akuter zerebraler Gefäßverschlüsse

Kernaussagen

• Ein gutes klinisches Outcome bei Patienten mit schwerem Schlaganfall ist insbesondere von einer frühen Wiedereröffnung des verschlossenen Gefäßes abhängig.

• Die i. v. Thrombolyse mit rtPA ist derzeit die einzige zugelassene und nachgewiesenermaßen effektive Behandlung bei Patienten mit akutem Schlaganfall bis 4,5 h nach Symptombeginn. Allerdings ist die i. v. Lyse insbesondere bei Verschlüssen der proximalen Hirngefäße wie der distalen A. carotis interna oder der A. cerebri media nur in unter 30 % der Fälle erfolgreich.

• Moderne Thrombektomiesysteme können den Anteil erfolgreicher Rekanalisierungen bis weit über 80 % steigern. Hierbei haben sich die Stent-Retriever als besonderes effektiv und sicher erwiesen.

• Literatur

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