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All Journal Neurona
Listyawan, Rakhian
Unknown Affiliation
Health Professions Medicine & Pharmacology Neuroscience

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TROMBEKTOMI MEKANIS DAN TROMBOLISIS INTRAARTERI PADA STROKE ISKEMIK: FOKUS PADA LUARAN KLINIS Listyawan, Rakhian; Setyawan, Tommy Rachmat
Majalah Kedokteran Neurosains Perhimpunan Dokter Spesialis Saraf Indonesia Vol 41 No 5: Edisi Suplemen Neurona Bekerjasama dengan JogjaCLAN 2025
Publisher : PERDOSNI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52386/neurona.v41i5.864

Abstract

Mechanical thrombectomy has become the standard recommended therapy for acute ischemic stroke due to large vessel occlusion. A series of fundamental clinical trials have demonstrated the superiority of mechanical thrombectomy in achieving functional independence (modified Rankin Scale [mRS] score 0-2) at 90 days compared to medical therapy alone. The therapeutic window for mechanical thrombectomy has even been extended to 24 hours for selected patients based on perfusion imaging. Meanwhile, the role of intraarterial thrombolysis has evolved from primary therapy to an adjunctive or rescue strategy, used in cases of incomplete recanalization or distal embolism after mechanical thrombectomy. Both treatment modalities continue to evolve to improve clinical outcomes in patients. Keywords: Ischemic stroke, mechanical thrombectomy, intraarterial thrombolysis, large vessel occlusion, clinical outcome.
Co-Authors Setyawan, Tommy Rachmat