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