Endovascular Thrombectomy for the Treatment of Large Ischemic Stroke: A Comprehensive Systematic Review

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Rizky Cyntia Simamora
Tamara Gratia Sianturi
Nadya Putri
Daniel Setiawan Nathan
Eka Zhaki Safira Lubis
Yohanna Evelyne Siburian

Abstract

Background: This study aims to provide endovascular thrombectomy for the treatment of large ischemic stroke. Methods: Following PRISMA 2020 guidelines, this systematic review focused exclusively on full-text articles published in English between 2014 and 2024. Result: The study conducted a comprehensive review of over 100 publications sourced from reputable databases, including ScienceDirect, SagePub, and PubMed. Following an initial screening, five publications were identified as warranting more in-depth analysis. Consequently, a thorough review of these selected studies was performed to ensure a detailed and rigorous evaluation. Conclusion: In patients with large volume ischemic strokes, endovascular thrombectomy (ET) has a clear functional benefit and does not confer increased risk of significant complications compared to medical management alone.

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