Clinical considerations and assessment of risk factors when choosing endovascular thrombectomy for acute stroke. (2nd August 2020)

• Record Type: Journal Article
• Authors: Wadhwa, Ankur; Joundi, Raed; Menon, Bijoy
• Is Part Of: Expert review of cardiovascular therapy. Volume 18:Number 8(2020)
• Page Start: 541
• Page End: 556
• Publication Date: 2020-08-02
• Subjects: Acute Ischemic stroke -- CT perfusion -- decision making -- endovascular thrombectomy -- multiphase CT angiography; Cardiovascular agents -- Research -- Periodicals; 616.12061
• DOI: 10.1080/14779072.2020.1798229
• Languages: English
• ISSNs: 1477-9072

Abstract

ABSTRACT: Introduction: The advent of endovascular thrombectomy (EVT) has been a game changer for the management of acute ischemic stroke due to large vessel occlusion. However, the selection of suitable candidates for EVT remains a significant challenge. Areas covered: This review focuses on the clinical, radiological, and procedural considerations for EVT in acute stroke that assist in optimal patient selection. Expert opinion: All patients presenting with significant clinical deficits with treatable occlusions, who have salvageable brain tissue at presentation might benefit from treatment up to twenty-four hours from symptom onset. Neuroimaging tools form the backbone for this decision making.