Mechanical thrombectomy for acute stroke in pregnancy

Neuroradiol J. 2020 Apr;33(2):134-139. doi: 10.1177/1971400919900635. Epub 2020 Jan 27.

Abstract

Several recent randomised control trials have shown adjunctive endovascular mechanical thrombectomy to be an effective and safe treatment for acute stroke superior to medical therapy alone. Despite this, questions remain over certain groups of patients that have been excluded from these studies, such as pregnant women. We believe this is a topic of increasing clinical significance with minimal data in the literature. In this article we discuss stroke in pregnancy and highlight the important technical considerations of endovascular mechanical thrombectomy, including minimising radiation exposure to the mother and fetus.

Keywords: Endovascular; neurointervention; neuroradiology; pregnancy; stroke; thrombectomy.

Publication types

  • Review

MeSH terms

  • Female
  • Humans
  • Pregnancy
  • Pregnancy Complications / surgery*
  • Stroke / surgery*
  • Thrombectomy / methods*
  • Treatment Outcome