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Updated: May 18, 2026

Optimized Management of Endovascular Treatment for Acute Ischemic Stroke
Published on: January 18, 2018
Endovascular and neurosurgical management of acute ischemic stroke
Jasmeet Singh1, Thanh Ngoc Nguyen
1Department of Neurology, Boston Medical Center, Boston University School of Medicine, 72 East Concord, Boston, MA 02118, USA.
Insights
Acute ischemic stroke treatment has advanced with endovascular therapy, improving outcomes. This review covers current evidence-based guidelines for endovascular and neurosurgical interventions in acute stroke management.
Area of Science:
- Neurology
- Neurosurgery
- Vascular Medicine
Background:
- Acute ischemic stroke is a leading cause of death and disability.
- Current standard treatments involve reperfusion strategies like pharmacologic and endovascular interventions.
- Endovascular therapy has shown significant advancements in stroke management.
Purpose of the Study:
- To review current literature on endovascular and neurosurgical management of acute ischemic stroke.
- To present evidence-based guidelines for interventions in acute ischemic stroke.
Main Methods:
- Literature review of endovascular and neurosurgical management for acute ischemic stroke.
- Analysis of current evidence-based guidelines.
Main Results:
- Endovascular therapy has significantly improved acute ischemic stroke management.
- Guidelines support endovascular or neurosurgical interventions for specific patient populations.
Conclusions:
- Endovascular and neurosurgical interventions are crucial components of modern acute ischemic stroke care.
- Adherence to evidence-based guidelines optimizes patient outcomes in acute stroke management.
Abstract:
Acute ischemic stroke is recognized as the third leading cause of death in the United States; improved treatments for management are important to reduce disability and death. The standard of care of acute stroke therapy has been reperfusion/recanalization of the occluded vessels using pharmacologic management, endovascular management, or a combination approach. Significant improvements have been made in the management with the use of endovascular therapy. This article reviews the literature on the endovascular and neurosurgical management of patients presenting with acute ischemic stroke and presents current evidence-based guidelines for endovascular or neurosurgical interventions outlined for management of ischemic stroke.
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