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Optimized Management of Endovascular Treatment for Acute Ischemic Stroke
Published on: January 18, 2018
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Big and bigger data in endovascular stroke therapy
1Neurovascular Imaging Research Core, UCLA Department of Neurology, Neuroscience Research Building, 635 Charles E Young Drive South, Suite 225, Los Angeles, CA 90095-7334, USA.
Expert Review of Neurotherapeutics
|February 24, 2015
Summary
Big data now confirm the safety and efficacy of endovascular thrombectomy for acute ischemic stroke treatment. Further research is needed to optimize patient selection and expand treatment benefits.
Area of Science:
- Neurology
- Interventional Cardiology
- Radiology
Background:
- Endovascular thrombectomy has evolved over 30 years, with recent large trials confirming its safety and efficacy for acute ischemic stroke.
- Advancements in noninvasive imaging, such as multimodal CT and MRI, provide crucial patient-specific collaterome information.
Discussion:
- Data-driven analysis is essential for differentiating comprehensive stroke centers from interventional-ready sites.
- Recent trials highlight the potential of telestroke and remote imaging review to streamline patient transfer for endovascular therapy.
Key Insights:
- Large-scale data have established the efficacy of endovascular thrombectomy for acute ischemic stroke.
- Multimodal imaging significantly aids in assessing stroke patients for endovascular treatment.
Outlook:
- Further data are required to fully understand treatment variables and extend benefits to more stroke patients.
- The integration of telestroke and advanced imaging may redefine stroke care pathways.
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