Endovascular treatment of acute ischemic stroke: Current indications

Albert J. Yoo; Zeshan A. Chaudhry; Thabele M. Leslie-Mazwi; Ronil V. Chandra; Joshua A. Hirsch; Ramon Gilberto González; Claus Z. Simonsen

doi:10.1053/j.tvir.2011.12.013

Endovascular treatment of acute ischemic stroke: Current indications

Albert J. Yoo, Zeshan A. Chaudhry, Thabele M. Leslie-Mazwi, Ronil V. Chandra, Joshua A. Hirsch, Ramon Gilberto González, Claus Z. Simonsen

Physical Medicine & Rehabilitation

Research output: Contribution to journal › Article › peer-review

12 Scopus citations

Abstract

Endovascular stroke therapy is an effective means of achieving reperfusion in stroke patients with proximal cerebral artery occlusions. However, current guideline recommendations express uncertainty regarding the clinical efficacy of catheter-based treatments, given the lack of supportive trial data. A critical problem is that it remains unclear which patients will benefit from endovascular therapy. As such, patient selection is likely highly variable in clinical practice. This article will review the existing data to discuss the clinical and imaging factors that are relevant to patient outcomes, and which may be used to guide endovascular treatment decisions. Anterior circulation strokes represent the primary focus of this review.

Original language	English (US)
Pages (from-to)	33-40
Number of pages	8
Journal	Techniques in Vascular and Interventional Radiology
Volume	15
Issue number	1
DOIs	https://doi.org/10.1053/j.tvir.2011.12.013
State	Published - Mar 2012

Keywords

Acute ischemic stroke
Endovascular therapy
Imaging selection
Outcomes
Patient selection

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10.1053/j.tvir.2011.12.013

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title = "Endovascular treatment of acute ischemic stroke: Current indications",

abstract = "Endovascular stroke therapy is an effective means of achieving reperfusion in stroke patients with proximal cerebral artery occlusions. However, current guideline recommendations express uncertainty regarding the clinical efficacy of catheter-based treatments, given the lack of supportive trial data. A critical problem is that it remains unclear which patients will benefit from endovascular therapy. As such, patient selection is likely highly variable in clinical practice. This article will review the existing data to discuss the clinical and imaging factors that are relevant to patient outcomes, and which may be used to guide endovascular treatment decisions. Anterior circulation strokes represent the primary focus of this review.",

keywords = "Acute ischemic stroke, Endovascular therapy, Imaging selection, Outcomes, Patient selection",

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AU - Chaudhry, Zeshan A.

AU - Leslie-Mazwi, Thabele M.

AU - Chandra, Ronil V.

AU - Hirsch, Joshua A.

AU - González, Ramon Gilberto

AU - Simonsen, Claus Z.

PY - 2012/3

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N2 - Endovascular stroke therapy is an effective means of achieving reperfusion in stroke patients with proximal cerebral artery occlusions. However, current guideline recommendations express uncertainty regarding the clinical efficacy of catheter-based treatments, given the lack of supportive trial data. A critical problem is that it remains unclear which patients will benefit from endovascular therapy. As such, patient selection is likely highly variable in clinical practice. This article will review the existing data to discuss the clinical and imaging factors that are relevant to patient outcomes, and which may be used to guide endovascular treatment decisions. Anterior circulation strokes represent the primary focus of this review.

AB - Endovascular stroke therapy is an effective means of achieving reperfusion in stroke patients with proximal cerebral artery occlusions. However, current guideline recommendations express uncertainty regarding the clinical efficacy of catheter-based treatments, given the lack of supportive trial data. A critical problem is that it remains unclear which patients will benefit from endovascular therapy. As such, patient selection is likely highly variable in clinical practice. This article will review the existing data to discuss the clinical and imaging factors that are relevant to patient outcomes, and which may be used to guide endovascular treatment decisions. Anterior circulation strokes represent the primary focus of this review.

KW - Acute ischemic stroke

KW - Endovascular therapy

KW - Imaging selection

KW - Outcomes

KW - Patient selection

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Endovascular treatment of acute ischemic stroke: Current indications

Abstract

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