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Updated: Jun 1, 2026

Optimized Management of Endovascular Treatment for Acute Ischemic Stroke
Published on: January 18, 2018
Advanced neuroimaging in acute ischemic stroke: extending the time window for treatment
E Jesus Duffis1, Zaid Al-Qudah, Charles J Prestigiacomo
1Department of Neurological Surgery, University of Medicine and Dentistry of New Jersey, Newark, New Jersey, USA. eduffis@gmail.com
Abstract:
Early treatment of ischemic stroke with thrombolytics is associated with improved outcomes, but few stroke patients receive thrombolytic treatment in part due to the 3-hour time window. Advances in neuroimaging may help to aid in the selection of patients who may still benefit from thrombolytic treatment beyond conventional time-based guidelines. In this article the authors review the available literature in support of using advanced neuroimaging to select patients for treatment beyond the 3-hour time window cutoff and explore potential applications and limitations of perfusion imaging in the treatment of acute ischemic stroke.
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