David Černík, Filip Cihlář, Daniel Šaňák
Mechanical thrombectomy (MT) is a standard, highly effective and safe treatment of symptomatic occlusion of cerebral vessels in acute ischemic stroke patients. Despite successful recanalization not all patients achieve a good clinical outcome. Different factors may have an impact on clinical outcome and only some of them can be potentially affected. Recanalization time, blood pressure, glycemia, general anesthesia, retrieving techniques and instruments, experience of interventional center and patients’ logistics belong to these factors. However, data from large randomized trials about majority of factors are still missing and experts’ recommendations gor clinical practice has not yet been present, these factors should be considered carefully in the management of MT. Understanding and adequate affecting of some of these factors may improve the management of MT and help to achieve better clinical results already now.