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Review
. 2022 Jan;22(1):83-91.
doi: 10.1007/s11910-022-01168-9. Epub 2022 Jan 31.

Endovascular Treatment of Acute Stroke

James A Giles  1 , Ananth K Vellimana  2 , Opeolu M Adeoye  3   4
Affiliations
Review

Endovascular Treatment of Acute Stroke

James A Giles et al. Curr Neurol Neurosci Rep. 2022 Jan.

Abstract

Purpose of review: In the USA, around 30% of 795,000 strokes per year are due to proximal large-vessel occlusion, and these are a major cause of death and disability. We review the most recent advances regarding treatment of ischemic stroke amenable to mechanical thrombectomy.

Recent findings: In the last four years, clinical trial evidence has expanded the time window for successful endovascular treatment to 24 h. Current research is aimed at expanding patient selection to mild strokes, large ischemic cores and occlusions of smaller, more distal blood vessels. Further, we have developed understanding of how to manage blood pressure after thrombectomy and even had promising results for a neuroprotective agent in these patients. Thrombectomy has transformed the treatment of ischemic stroke due to large-vessel occlusion. Recent research has focused on expanding patient candidacy for endovascular treatment and improving medical management to support better neurologic outcomes.

Keywords: Large-vessel occlusion; Stroke; Thrombectomy.

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References

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