A no-brainer

Endovascular therapy for acute ischemic stroke has become the mainstay of treatment for AIS due to large vessel occlusion, however, most stroke centers with neurointerventionalists are localized to urban areas leaving many patients hours away from revascularization. The study by Tamunoinemi and coauthors demonstrates EVT performed by carotid-capable interventional cardiologists can achieve procedural and clinical success rates comparable to those of neurointerventionalists. While ICs may provide an important role in increasing access to interventional stroke treatment in the future, a codified pathway to training and measures of competence will be critical.