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However, mechanical recanalization techniques are not always successful.
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In a MERCI trial, the association of mechanical recanalization and IA therapy showed an overall recanalization rate of 68%[3]].
CT perfusion-guided versus time-guided mechanical recanalization in acute ischemic stroke patients.
BACKGROUND: Improved recanalization techniques have increased interest in percutaneous coronary intervention (PCI) for chronic total coronary occlusion (CTO).
METHODS: A review was conducted on 132 patients, 94 undergoing CTP-guided and 38 undergoing time-guided (maximum 8h from symptom onset) mechanical recanalization at our institution.
We compare the safety and efficacy of CT perfusion (CTP -guided to time-guided meCTP -guidedcanalizatoon in acute ischemic stroke (AIS) patients.
At the hospital, a CT angiography and a digital subtraction angiography confirmed an obstruction in the proximal segment of the left middle cerebral artery (Fig. 1B) that was reopened by consecutive mechanical recanalization [15] and intra-arterial thrombolysis (Fig. 1C).
However, the superior petrosal sinus must be patent, because mechanical recanalization has proved hazardous because of the anatomical proximity to the vein of Labbé.
The following endovascular recanalization techniques were applied: stent retriever thrombectomy, thromboaspiration, extra- and intracranial stenting, intra-arterial thrombolysis or any combination of these.
Treatment with mechanical thromboembolectomy techniques is proposed for failed recanalization after thrombolysis or for patients with contraindications for thrombolytic therapy.
The gold-mining industry was subsequently reorganized by companies that brought in large-scale mechanical mining techniques.
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