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Optimized Management of Endovascular Treatment for Acute Ischemic Stroke
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Published on: January 18, 2018

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Endovascular Therapy for Acute Ischemic Stroke: A Comprehensive Review of Current Status

İsmail D Kilic1, Abdul Hakeem2, Konstantinos Marmagkiolis3

  • 1Pamukkale University Hospital, Department of Cardiology, Denizli, Turkey.

Cardiovascular Revascularization Medicine : Including Molecular Interventions
|July 21, 2018
PubMed

Insights

Endovascular therapy is now a key treatment for acute ischemic stroke caused by large vessel occlusion in the anterior circulation. This review covers its technical aspects and supporting evidence.

Area of Science:

  • Neurology
  • Interventional Radiology
  • Vascular Medicine

Background:

  • Stroke is a major global cause of death and disability.
  • Current fibrinolytic therapy shows limitations in achieving vessel patency and improving functional outcomes.
  • Advances in endovascular techniques have emerged for acute ischemic stroke.

Purpose of the Study:

  • To review the current evidence and technical considerations for endovascular therapy in acute ischemic stroke.
  • To highlight the established role of endovascular treatment for large vessel occlusions.
  • To provide an overview of the management of acute stroke.

Main Methods:

  • Review of recent randomized controlled trials on endovascular therapy for ischemic stroke.
  • Analysis of technical aspects related to endovascular procedures.
  • Synthesis of the current evidence base supporting endovascular interventions.

Main Results:

  • Randomized trials have confirmed the efficacy of endovascular therapy.
  • Endovascular treatment improves outcomes for large vessel occlusive strokes in the anterior circulation.
  • Established role for endovascular therapy in specific stroke populations.

Conclusions:

  • Endovascular therapy is a critical component in the management of acute ischemic stroke.
  • The evidence supports its use for large vessel occlusions in the anterior circulation.
  • Further understanding of technical nuances and ongoing research will refine treatment strategies.

Keywords:
CatheterizationEndovascular proceduresStrokeThrombectomy

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