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Updated: May 3, 2026

Optimized Management of Endovascular Treatment for Acute Ischemic Stroke
Published on: January 18, 2018
Endovascular therapies in acute ischemic stroke
Diogo C Haussen1, Dileep R Yavagal1
1Department of Neurology and Neurosurgery, University of Miami Miller School of Medicine / Jackson Memorial Hospital, Miami, Florida.
Endovascular therapy for acute ischemic stroke (AIS) has evolved significantly over 50 years. Recent trials offer new insights into patient selection and advanced techniques for this crucial treatment.
Area of Science:
- Neurology
- Interventional Radiology
- Cardiovascular Medicine
Background:
- Intraarterial therapy for acute ischemic stroke (AIS) has a 50-year history.
- Endovascular management of AIS has seen rapid advancements.
- A substantial body of evidence now guides patient selection and techniques.
Purpose of the Study:
- To discuss the historical evolution of endovascular therapy for AIS.
- To review recent landmark clinical trials in AIS endovascular treatment.
- To highlight advancements in interventional techniques and patient selection.
Main Methods:
- Literature review of historical developments in AIS therapy.
- Analysis of recently published landmark clinical trials.
- Synthesis of evidence on patient selection and interventional techniques.
Main Results:
- Significant progress in endovascular techniques for AIS over five decades.
- Emergence of a robust evidence base for current practices.
- Identification of key trials shaping contemporary AIS management.
Conclusions:
- Endovascular therapy for AIS has transformed stroke care.
- Ongoing research continues to refine treatment protocols.
- Evidence from recent trials is crucial for optimizing outcomes in AIS.
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