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Aaron P Tansy1, Jason D Hinman2, Kwan L Ng2

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Summary
This summary is machine-generated.

Endovascular stroke therapies are now proven effective for specific patients with large-vessel occlusive acute ischemic stroke. Advanced neuroimaging enabled targeted patient selection, improving treatment outcomes and network care delivery.

Keywords:
CTMRIacute strokeacute stroke imagingacute stroke interventionsendovascular therapystroke centersstroke systems of care

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Area of Science:

  • Neurology
  • Interventional Radiology
  • Stroke Medicine

Background:

  • Recent endovascular stroke trials demonstrate significant efficacy for acute ischemic stroke.
  • Large-vessel occlusive (LVO) stroke requires timely and effective intervention.
  • Advanced neuroimaging is crucial for patient selection in stroke treatment.

Purpose of the Study:

  • To review recent successful endovascular stroke trials.
  • To highlight the role of advanced neuroimaging in patient selection.
  • To discuss challenges and opportunities for stroke network care delivery and propose guideline changes.

Main Methods:

  • Review of pivotal endovascular stroke trials.
  • Analysis of neuroimaging techniques used for patient selection.
  • Discussion of current stroke network care delivery and system guidelines.

Main Results:

  • Endovascular therapies are unequivocally supported for selected LVO acute ischemic stroke patients.
  • Advanced neuroimaging was pivotal in successful patient selection for these trials.
  • Trials present challenges and opportunities for stroke network care.

Conclusions:

  • Endovascular stroke treatment is a validated therapy for specific acute ischemic stroke patients.
  • Neuroimaging advancements are key to optimizing patient selection and treatment success.
  • National stroke system guidelines require updates to incorporate these advancements for improved care delivery.