hermes evt | Expanding indications for endovascular thrombectomy hermes evt The HERMES investigators concluded that in this individual patient data meta-analysis of patients with large-vessel ischemic stroke, earlier treatment with endovascular thrombectomy plus medical therapy compared with medical therapy alone was associated with lower degrees of disability at 3 months; however, the benefit became nonsignificant .
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0 · Expanding indications for endovascular thrombectomy
1 · Effect of Endovascular Treatment in HERMES
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Since the landmark randomized trials in 2015 resulting in the HERMES meta . Our analysis of data from the HERMES collaboration suggests that EVT is a safe and effective treatment option for patients with acute ischemic stroke with moderate‐to‐severe deficits due to an intracranial isolated ICA‐I . Since the landmark randomized trials in 2015 resulting in the HERMES meta-analysis in 2016 endovascular thrombectomy (EVT) has become the standard of care for large vessel occlusion (LVO) strokes in the anterior circulation within a time window of 6 h after onset of symptoms. 1 Whereas these trials demonstrated that EVT is a very powerful .
Our analysis of data from the HERMES collaboration suggests that EVT is a safe and effective treatment option for patients with acute ischemic stroke with moderate‐to‐severe deficits due to an intracranial isolated ICA‐I occlusion, that is, ICA‐occlusion without involvement of the middle or anterior cerebral artery.
Methods: We formed the HERMES collaboration to pool patient-level data from five trials (MR CLEAN, ESCAPE, REVASCAT, SWIFT PRIME, and EXTEND IA) done between December, 2010, and December, 2014. In these trials, patients with acute ischaemic stroke caused by occlusion of the proximal anterior artery circulation were randomly assigned to . The HERMES investigators concluded that in this individual patient data meta-analysis of patients with large-vessel ischemic stroke, earlier treatment with endovascular thrombectomy plus medical therapy compared with medical therapy alone was associated with lower degrees of disability at 3 months; however, the benefit became nonsignificant .
Endovascular therapy (EVT), in the form of mechanical thrombectomy, is now a standard of care for patients with acute ischemic stroke with a large vessel occlusion. This article reviews the evolution of EVT in the management of acute ischemic stroke and how it has led to the concept of tissue window over the widely publicized time window.
Benefit of endovascular treatment (EVT) for ischemic stroke due to a proximal intracranial occlusion in the anterior circulation varies considerably among patients because of differences in prognostic factors and heterogeneity of treatment effect. We aimed to assess whether endovascular treatment (EVT) compared with standard medical care was associated with improved functional outcomes in patients with acute symptomatic isolated intracranial ICA occlusion without involvement of the middle or anterior cerebral artery, that is, ICA‐I occlusion.Endovascular thrombectomy (EVT) has produced substantial changes in the outcomes associated with acute ischemic stroke due to large-vessel occlusions. 1 Evidence from multiple randomized clinical trials has demonstrated substantial EVT benefit, establishing thrombectomy as a standard of care treatment and encouraging efforts to improve its .
The effect of endovascular therapy (EVT) on the outcome of stroke patients with a medium distal vessel occlusion (MDVO) is unclear. We report the results of MDVO patients treated with the 3 mm Trevo stent retriever (SR) and/or the AXS Catalyst 5 distal access catheter.Endovascular therapy (EVT) has revolutionized the treatment of acute ischemic stroke. In the past few years, endovascular treatment indications have expanded to include patients being treated in the extended window, with large ischemic core . Since the landmark randomized trials in 2015 resulting in the HERMES meta-analysis in 2016 endovascular thrombectomy (EVT) has become the standard of care for large vessel occlusion (LVO) strokes in the anterior circulation within a time window of 6 h after onset of symptoms. 1 Whereas these trials demonstrated that EVT is a very powerful .
Our analysis of data from the HERMES collaboration suggests that EVT is a safe and effective treatment option for patients with acute ischemic stroke with moderate‐to‐severe deficits due to an intracranial isolated ICA‐I occlusion, that is, ICA‐occlusion without involvement of the middle or anterior cerebral artery. Methods: We formed the HERMES collaboration to pool patient-level data from five trials (MR CLEAN, ESCAPE, REVASCAT, SWIFT PRIME, and EXTEND IA) done between December, 2010, and December, 2014. In these trials, patients with acute ischaemic stroke caused by occlusion of the proximal anterior artery circulation were randomly assigned to . The HERMES investigators concluded that in this individual patient data meta-analysis of patients with large-vessel ischemic stroke, earlier treatment with endovascular thrombectomy plus medical therapy compared with medical therapy alone was associated with lower degrees of disability at 3 months; however, the benefit became nonsignificant .
Endovascular therapy (EVT), in the form of mechanical thrombectomy, is now a standard of care for patients with acute ischemic stroke with a large vessel occlusion. This article reviews the evolution of EVT in the management of acute ischemic stroke and how it has led to the concept of tissue window over the widely publicized time window. Benefit of endovascular treatment (EVT) for ischemic stroke due to a proximal intracranial occlusion in the anterior circulation varies considerably among patients because of differences in prognostic factors and heterogeneity of treatment effect.
We aimed to assess whether endovascular treatment (EVT) compared with standard medical care was associated with improved functional outcomes in patients with acute symptomatic isolated intracranial ICA occlusion without involvement of the middle or anterior cerebral artery, that is, ICA‐I occlusion.Endovascular thrombectomy (EVT) has produced substantial changes in the outcomes associated with acute ischemic stroke due to large-vessel occlusions. 1 Evidence from multiple randomized clinical trials has demonstrated substantial EVT benefit, establishing thrombectomy as a standard of care treatment and encouraging efforts to improve its . The effect of endovascular therapy (EVT) on the outcome of stroke patients with a medium distal vessel occlusion (MDVO) is unclear. We report the results of MDVO patients treated with the 3 mm Trevo stent retriever (SR) and/or the AXS Catalyst 5 distal access catheter.
Expanding indications for endovascular thrombectomy
Effect of Endovascular Treatment in HERMES
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hermes evt|Expanding indications for endovascular thrombectomy
