Semin intervent Radiol 2020; 37(02): 199-206
DOI: 10.1055/s-0040-1709206
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Endovascular Stroke Interventions: Procedural Complications and Management

Ahmed Elakkad
1  Division of Interventional Neuroradiology, The Johns Hopkins Hospital, Baltimore, Maryland
,
Gerald Drocton
1  Division of Interventional Neuroradiology, The Johns Hopkins Hospital, Baltimore, Maryland
,
Ferdinand Hui
1  Division of Interventional Neuroradiology, The Johns Hopkins Hospital, Baltimore, Maryland
› Author Affiliations
Further Information

Publication History

Publication Date:
14 May 2020 (online)

Abstract

Endovascular mechanical thrombectomy has evolved significantly and has become the mainstay and most effective currently available treatment for acute ischemic stroke patients due to large vessel occlusion. Mechanical thrombectomy is presently performed using a stent retriever or stent-like device, an aspiration catheter, or a combination of the two. Much of the literature has focused on the benefits of endovascular mechanical thrombectomy with only limited data about procedural complications and management. Awareness of risk factors and early recognition of these complications can potentially reduce complication rates, improve management, and yield better overall outcomes. In this review, the authors present a description of intraprocedural complications and strategies to prevent and treat these complications.