[Mechanical thrombectomy for acute XXXX : Current evidence and open questions].

@entity1 @entity64 @entity41335 @entity432 @entity850 @entity385
OBJECTIVE: To determine the importance of mechanical thrombectomy (MT) in the treatment of @entity385 . MATERIAL AND METHODS: Analysis and comparison of randomized controlled trials (RCT) of MT versus @entity41335 ( @entity41335 ) considering pathophysiological and logistic aspects. RESULTS: The use of MT is more effective than @entity41335 for internal carotid artery terminus (ICAT), M1 segment and tandem occlusions, i.e. proximal internal carotid artery (ICA) @entity432 or @entity850 , even in @entity1 older than 75-80 years of age. Due to the small sample sizes this question cannot be answered for @entity1 with M2 occlusions. It is still uncertain whether MT is needed in @entity1 with a low National Institutes of @entity64 scale (NIHSS) score, whether @entity41335 is needed before MT and what type of imaging should be performed. Approximately one third of eligible @entity1 currently undergo MT in Germany. Results from RCTs with stent retrievers for @entity1 with vertebrobasilar artery occlusions are lacking. CONCLUSION: After becoming established as a first-line therapy for @entity1 with ICAT, M1 segment and tandem occlusions, the effectiveness of MT with stent retrievers has to proven in @entity1 with more distal occlusions, low NIHSS scores and even vertebrobasilar artery occlusions.
