Endovascular Stroke Treatment

A stroke can be both sudden and scary. Fortunately, there are better treatment options than ever. One option that may be recommended is endovascular stroke treatment.

During endovascular stroke treatment, a catheter is inserted into an artery in your groin and threaded through the body up to the brain where the blockage is occurring. 

Multiple devices are currently available for endovascular stroke therapy, including:

  • Microcatheter delivery of intra-arterial tPA — the administration of a drug that helps break down the clot through a catheter.
  • “Stent triever” devices are a minimally invasive techniques for managing stroke.  This technology includes the Trevo® XP and Solitaire™ FR. These devices are deployed and guided to the site of the stroke to retrieve as much of the clot as possible and restore blood flow a quickly as possible.
  • Suction aspiration using the Penumbra System®.  The Penumbra System is approved by the FDA for vessel recanalization in stroke. The main component of the system is the reperfusion catheter, which uses suction to aspirate clots through the device like a vacuum cleaner. A separator, gently extruded in and out of the catheter into the clot, prevents plugging of the reperfusion catheter tip. Carotid stenting is a procedure in which a physician inserts a slender, metal-mesh tube inside your carotid artery to increase blood flow in areas blocked by plaque.
  • Carotid angioplasty is a procedure that opens clogged arteries to prevent or treat a stroke.  The procedure involves temporarily inserting and inflating a tiny balloon into the carotid artery to widen where it is clogged.


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The Neuroscience Institute

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