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Updated: Jul 6, 2026

Optimized Management of Endovascular Treatment for Acute Ischemic Stroke

Optimized Management of Endovascular Treatment for Acute Ischemic Stroke

Published on: January 18, 2018

[Stroke--endovascular treatment methods].

Eva A Jacobsen¹

¹Stanford Hospital and Clinics, Stanford, CA 94305-5105, USA. eva.jacobsen@rikshospitalet.no

Tidsskrift for Den Norske Laegeforening : Tidsskrift for Praktisk Medicin, Ny Raekke

|March 14, 2008

Summary

This summary is machine-generated.

Endovascular treatments like mechanical thrombectomy are crucial for acute ischemic stroke when intravenous thrombolysis is ineffective or too late. Prompt diagnosis and interdisciplinary collaboration are essential for optimal patient outcomes.

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Optimized Management of Endovascular Treatment for Acute Ischemic Stroke

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Published on: January 18, 2018

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Published on: April 21, 2023

Area of Science:

Neurology
Vascular Medicine
Interventional Radiology

Background:

Endovascular treatments, including intra-arterial thrombolysis, thrombectomy, angioplasty, and stenting, are increasingly utilized for acute ischemic stroke.
The management of acute stroke has evolved with advancements in minimally invasive endovascular techniques.

Purpose of the Study:

To discuss the role and application of endovascular treatment in managing acute ischemic stroke.
To present three clinical cases illustrating the use of endovascular interventions.

Main Methods:

Review of three clinical cases of acute ischemic stroke treated with endovascular methods.
Literature review of current knowledge on endovascular stroke treatment using PubMed.

Main Results:

While a randomized study exists for intra-arterial thrombolysis within 6 hours, randomized data for mechanical thrombectomy in acute stroke is lacking.
Phase II studies indicate promising outcomes for mechanical thrombectomy.
The presented cases highlight the necessity of rapid diagnosis and multidisciplinary teamwork for neurointervention.

Conclusions:

Patients with symptomatic intracranial stenosis on anti-platelet therapy may benefit from angioplasty with or without stenting.
Mechanical thrombectomy, intra-arterial thrombolysis, or a combination should be considered for acute ischemic stroke patients ineligible for or unresponsive to intravenous thrombolysis.