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Endovascular Thrombectomy for Acute Ischemic Stroke : Current Concept in Management
Jin Woo Bae1,2, Dong Keun Hyun1,2
1Department of Neurosurgery, Inha University Hospital, Incheon, Korea.
Journal of Korean Neurosurgical Society
|March 29, 2024
Summary
Endovascular thrombectomy (EVT) is standard for acute ischemic stroke (AIS). This review covers EVT
Area of Science:
- Neurology
- Interventional Cardiology
- Neurosurgery
Background:
- Endovascular thrombectomy (EVT) is the standard of care for acute ischemic stroke (AIS).
- Current strict eligibility criteria limit widespread EVT application.
- Significant patient populations undergo off-label EVT with variable outcomes.
Purpose of the Study:
- To review the history and recent advancements in EVT for AIS.
- To focus on expanding eligibility criteria, novel targets, and evolving techniques.
Main Methods:
- Review of landmark randomized controlled trials in EVT for AIS.
- Analysis of recent progressions and technological evolution in EVT.
- Focus on studies addressing expanded indications and new targets.
Main Results:
- Recanalization is not achieved in approximately 20% of EVT procedures.
- Over 50% of patients undergoing EVT do not achieve favorable outcomes.
- Ongoing research aims to broaden patient selection and improve procedural success.
Conclusions:
- EVT is a critical treatment for AIS, but outcomes and eligibility require optimization.
- Expanding criteria, identifying new targets, and refining techniques are key to improving EVT efficacy.
- Further research is needed to enhance patient selection and procedural success rates in AIS treatment.
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