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Updated: Jun 6, 2026

Optimized Management of Endovascular Treatment for Acute Ischemic Stroke
Published on: January 18, 2018
The 2026 AHA/ASA Guideline Updates to Management of Patients with Acute Ischemic Stroke: A Guide for Radiologists
Pranjal Rai1, John C Benson2, Sabha Ahmed2
1From the Department of Radiology (P.R., J.C.B., I.T.M., G.B.), Neurologic Surgery (G.L., J.P.K.), Mayo Clinic, 200 1st Street Southwest, Rochester, MN 55902; Department of Neuroradiology (S.A.), National Institute Of Mental Health & Neuro Sciences (NIMHANS), Hosur Main Road, Lakkasandra, Ayappa Garden, Adugodi, Bengaluru, Karnataka 560029, India; Department of Radiology (R.R.), Massachusetts General Hospital, 55 Fruit St, Boston, MA 02114 and Department of Neuroradiology (D.A.L.), Rockefeller Neuroscience Institute, West Virginia, University, Morgantown, WV, USA. raipranjal2@gmail.com.
None:
The 2026 guideline for early management of acute ischemic stroke (AIS) retains many foundational recommendations while introducing clinically meaningful updates spanning imaging, broader inpatient management, and reperfusion strategies including intravenous thrombolysis (IVT) and endovascular therapy (EVT). Notably, it provides expanded guidance for medium vessel occlusions and introduces pediatric recommendations that were largely absent from prior iterations. Given their impact on imaging workflows in AIS, the authors present a focused review of the updated guidelines for the radiologist.
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