Acute Stroke Management in the Era of Thrombectomy

1. Front Matter

   Pages i-xv

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2. Best Medical Management for Acute Ischemic Stroke

   • Amir Shaban, Enrique C. Leira

   Pages 1-13

3. Imaging of Acute Ischemic Stroke

   • Girish Bathla, Bruno Policeni, Colin P. Derdeyn

   Pages 15-24

4. Indications for Mechanical Thrombectomy

   • Krishna Chaitanya Joshi, Michael Chen

   Pages 25-37

5. Anesthesia During Endovascular Treatment of Acute Ischemic Stroke

   • Waleed Brinjikji

   Pages 39-46

6. Arterial Access and Intermediate Catheters: Procedural and Technical Considerations

   • Aldo Mendez Ruiz, Ali Sheharyar, Santiago Ortega-Gutierrez

   Pages 47-60

7. Intra-arterial Thrombolytics for Treatment of Acute Ischemic Stroke

   • Alicia C. Castonguay, Mouhammad A. Jumaa, Syed F. Zaidi

   Pages 61-69

8. Mechanical Thrombectomy: Emerging Devices and Technologies

   • Waldo R. Guerrero, Sami Al Kasab, Edgar A. Samaniego

   Pages 71-85

9. Mechanical Thrombectomy: Techniques and Hybrid Approaches for Recanalization

   • Alhamza R. Al-Bayati, Raul G. Nogueira, Edgar A. Samaniego, Diogo C. Haussen

   Pages 87-103

10. Acute Stenting During Acute Ischemic Stroke

    • Lila Sheikhi, Gabor Toth

    Pages 105-117

11. Tandem Occlusion Causing Acute Ischemic Stroke

    • James Rossen, Kaustubh Limaye, David Hasan

    Pages 119-128

12. Mechanical Thrombectomy in Distal Vessels: M2s and Beyond

    • Ahmad Sweid, Stavropoula Tjoumakaris, Pascal Jabbour

    Pages 129-142

13. Thrombectomy of the Posterior Circulation: Tips and Tricks

    • Kasra Khatibi, Viktor Szeder

    Pages 143-160

14. Thrombectomy in the Venous System: Approaches and Techniques

    • Jorge A. Roa, Maxim Mokin, Edgar A. Samaniego

    Pages 161-172

15. Complications During Mechanical Thrombectomy: Pitfalls and Bailouts

    • Rakesh Khatri, Alberto Maud, Gustavo J. Rodriguez

    Pages 173-190

16. Postoperative Care After Mechanical Thrombectomy

    • Catherine Arnold Fiebelkorn, Alejandro Rabinstein

    Pages 191-202

17. Stroke Care and Mechanical Thrombectomy in Developing Countries

    • Jorge A. Roa, Sheila C. Ouriques Martins, Francisco Jose Mont’Alverne

    Pages 203-220

18. Back Matter

    Pages 221-226

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​This book contains a compilation of the revolution of mechanical thrombectomy (MT) in the treatment of strokes. The initial chapters summarize information about the best medical management of acute ischemic stroke, imaging modalities and patient selection for MT. The book then focuses on the nuances of MT, providing detailed information about the best approaches for anesthesia during MT, access, intra-arterial thrombolysis, recent devices and catheters and technical pitfalls of MT. A specific chapter is dedicated to MT in the venous system. This is followed by a chapter about the most common complications of MT and post-procedural care of these patients. The last chapter covers different aspects of acute stroke care and MT in the developing world. The authors of this book comprise of a multidisciplinary group of world experts in the field and were encouraged to include teaching cases to deliver a book with a practical approach.
Acute Stroke Management in the Era of Thrombectomy is intended for all healthcare providers who care for patients with stroke; with special emphasis for the proceduralists who are interested in technical tips to improve outcomes and minimize complications.

• Stroke Protocols
• Imaging Triage
• Intra-arterial Thrombolysis
• Posterior Circulation
• recanalization

• Department of Neurology, Neurosurgery and Radiology, University of Iowa Hospitals and Clinics, Iowa City, USA

  Edgar A. Samaniego

• Department of Neurosurgery, University of Iowa Hospitals and Clinics, Iowa City, USA

  David Hasan

Edgar A Samaniego:  Associate Professor of Neurology, Neurosurgery and Radiology at the University of Iowa.  Dr. Samaniego has completed three fellowships:  Vascular Neurology (University of Stanford), Neurocritical Care (University of Stanford) and Neurointerventional Surgery (Miami Cardiac and Vascular Institute).  He has published extensively in the field of vascular neurology and neurointerventional surgery.  


David Hasan:  Professor of Neurosurgery at the University of Iowa.  Dr. Hasan has more than 10 years in experience in open and endovascular neurosurgery.  He has published more than 200 papers in the field and has NIH funded research in aneurysms and cerebrovascular disease.     

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