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Updated: Feb 5, 2026

Optimized Management of Endovascular Treatment for Acute Ischemic Stroke
Published on: January 18, 2018
[Acute phase of stroke: every minute counts]
Benjamin Maïer1, Perrine Boursin1, Mikael Mazighi2
1Neuroradiologie interventionnelle, Fondation ophtalmologique Adolphe-de-Rothschild, 29, rue Manin, 75019 Paris, France.
Cerebral infarction (CI) treatment involves restoring blood flow through recanalisation. Options include intravenous thrombolysis within 4.5 hours or mechanical thrombectomy up to 24 hours after the event.
Area of Science:
- Neurology
- Vascular Medicine
- Interventional Neuroradiology
Background:
- Cerebral infarction (CI) results from blocked intracranial arteries, leading to brain tissue damage.
- Timely intervention is crucial for improving outcomes in patients with CI.
Purpose of the Study:
- To outline the primary treatment strategies for cerebral infarction.
- To differentiate the therapeutic windows for medical and mechanical recanalisation.
Main Methods:
- Review of current medical and interventional treatment guidelines for CI.
- Analysis of recanalisation techniques including intravenous thrombolysis and mechanical thrombectomy.
Main Results:
- Intravenous thrombolysis is effective within 4.5 hours of CI onset.
- Mechanical thrombectomy offers a treatment option up to 24 hours after CI, expanding the therapeutic window.
Conclusions:
- Recanalisation is the cornerstone of acute CI management.
- The choice of treatment modality depends on the time elapsed since symptom onset and patient-specific factors.
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