Endovascular Management of Ischemic Stroke

A case-based guide to the interventional management of stroke from leading international experts!

I Evolution of Endovascular Management1 Intra-arterial Tissue Plasminogen Activator: The First Steps2 Transcatheter MERCI Clot Retrieval: The Early Generation3 Penumbra Clot Aspiration Technique: The Dark Days4 Trevo Stent-Retriever Thrombectomy: Light on the Horizon5 Solitaire Stent-Retriever Thrombectomy: Building the EvidenceII Case Selection6 Timing in Stroke and the Tissue Clock7 Role of Leptomeningeal Collaterals8 Importance of Clot Burden and Clot Location9 ASPECTS: When Not to Treat10 Microbleeds Are Not a Contraindication to Thrombolysis in Acute Stroke11 Stroke Etiologies: Hemodynamic, Embolic, and Perforator Stroke12 Endovascular Therapy in a Patient with a Proximal MCA Occlusion and No Neurological Deficits13 MRI in Stroke (Core Size, Mismatch, and New Advances)III Fundaments and Standard Approaches14 The Classical Setup: Carotid-T with Balloon15 M1 Anatomy and Role of Perforators in Outcome16 Basilar Artery Occlusion17 ADAPT Technique for Acute Ischemic Stroke Thrombectomy18 General Anesthesia in Thrombectomy19 Conscious Sedation in Thrombectomy20 Endovascular Therapy for Patients with an Isolated M2 OcclusionIV Advanced Techniques21 Percutaneous Radial Arterial Access for Thrombectomy22 Percutaneous Transcarotid Endovascular Thrombectomy for Acute Ischemic Stroke23 Distal Access Catheter Technique without Balloon AssistanceV Complex Cases24 Tandem Lesions25 Pseudo-occlusion26 Underlying Intracranial Stenosis27 Intracranial Dissection28 Hyperacute Extracranial Angioplasty and Stenting: When and How29 Failed Mechanical Thrombectomy: What to Do Next30 Rescue Permanent Stenting31 Acute Dissection with Hemodynamic Infarctions32 The SAVE Technique33 Aspiration-Retriever Technique for Stroke (ARTS)VI Complications34 Clot Migration with Emboli to Distal Territories35 Endothelial Damage36 Management of Vessel Perforation during Stroke Intervention37 Arterial Access Complications38 Intraprocedural Vasospasm during Thrombectomy39 Hemorrhagic Transformation after Endovascular Stroke Therapy40 Endovascular Treatment of Cerebral Venous Thrombosis41 Endovascular Thrombectomy for Pediatric Acute Ischemic StrokeVII Stroke Mimics and Rare Causes42 Hemiplegic Migraine43 Intra-arterial Contrast Injection during Computed Tomography Angiography44 Mitochondrial Encephalomyopathy, Lactic Acidosis, and Stroke-Like Episodes (MELAS)45 Reversible Cerebral Vasoconstriction Syndrome46 Acute Ischemic Stroke Secondary to Cardiac Myxoma Embolus47 Seizure48 Cerebral Amyloid Angiopathy49 Contrast Staining Masquerading as Hemorrhage50 HaNDL51 Appendix: Essential Terms, Trials, and Tools