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DOI: 10.1055/s-0034-1364326
Neuro-Thrombektomie – Mechanische Rekanalisierung akuter zerebraler Gefäßverschlüsse
Publikationsverlauf
Publikationsdatum:
11. Februar 2014 (online)
![](https://www.thieme-connect.de/media/intensiv-u2d/201401/lookinside/thumbnails/194_10-1055-s-0034-1364326-1.jpg)
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Ein gutes klinisches Outcome bei Patienten mit schwerem Schlaganfall ist insbesondere von einer frühen Wiedereröffnung des verschlossenen Gefäßes abhängig.
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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.
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Moderne Thrombektomiesysteme können den Anteil erfolgreicher Rekanalisierungen bis weit über 80 % steigern. Hierbei haben sich die Stent-Retriever als besonderes effektiv und sicher erwiesen.
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