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Optimized Management of Endovascular Treatment for Acute Ischemic Stroke
Published on: January 18, 2018
Endovascular therapy of acute ischemic stroke
Radoslav Raychev1, Bruce Ovbiagele
1Department of Neurology, UCLA, 710 Westwood Plaza, Los Angeles, CA 90095, USA. rraychev@mednet.ucla.edu
Expert Opinion on Pharmacotherapy
|February 8, 2011
Summary
Endovascular therapy offers new hope for acute ischemic stroke (AIS) treatment, expanding the time window beyond traditional methods. This approach provides personalized options to improve patient outcomes.
Area of Science:
- Neurology
- Interventional Cardiology
- Neurosurgery
Background:
- Intravenous fibrinolysis is the primary treatment for acute ischemic stroke (AIS), but its effectiveness is limited by a narrow therapeutic window and bleeding risks.
- Minimally invasive endovascular therapies present an alternative to overcome these limitations.
Purpose of the Study:
- To discuss current and emerging endovascular techniques for acute cerebral ischemia.
- To cover methods for assessing angiographic and clinical endpoints.
- To review patient selection criteria and clinical trials.
Main Methods:
- Discussion of endovascular techniques addressing hemodynamic, neuroanatomic, and neurovascular complexities in AIS.
- Review of scales for measuring angiographic and clinical outcomes.
- Consideration of procedural timing, patient selection via imaging, and ongoing clinical trials.
Main Results:
- Endovascular therapy significantly expands treatment options for AIS.
- These therapies offer promising approaches beyond single devices or methods.
- Treatments can be additive and tailored to individual patient characteristics.
Conclusions:
- Endovascular therapy represents a significant advancement in AIS treatment.
- It provides diverse, promising therapeutic strategies.
- Individualized treatment plans based on patient characteristics are key.
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