Catheter thrombectomy is the gold standard treatment for moderate-to-severe acute ischaemic stroke with large-vessel occlusion, enabling survival without permanent sequelae.
This review highlights that catheter thrombectomy is the gold standard for acute ischemic stroke with large-vessel occlusion and suggests an expanding role for cardiologists in providing this acute therapy.
During the last 5-7 years, tremendous progress was achieved in the reperfusion treatment of acute ischaemic stroke during its first few hours from symptom onset. This review summarizes the latest evidence from randomized clinical trials and prospective registries with a focus on endovascular treatment using stent retrievers, aspiration catheters, thrombolytics, and (in selected patients) carotid stenting. Novel approaches in prehospital (mobile interventional stroke teams) and early hospital (direct transfer to angiography) management are described, and future perspectives ('all-in-one' laboratories with angiography and computed tomography integrated) are discussed. There is reasonable chance for patients with moderate-to-severe acute ischaemic stroke to survive without permanent sequelae when the large-vessel occlusion is removed by means of modern pharmaco-mechanic approach. Catheter thrombectomy is now the golden standard of acute stroke treatment. The role of cardiologists in stroke is expanding from diagnostic help (to reveal the cause of stroke) to acute therapy in those regions where such up-to-date Class I. A treatment is not yet available.
Widimský et al. (Wed,) conducted a review in Acute ischaemic stroke. Reperfusion treatment (endovascular thrombectomy and intravenous thrombolysis) was evaluated. Catheter thrombectomy is the gold standard treatment for moderate-to-severe acute ischaemic stroke with large-vessel occlusion, enabling survival without permanent sequelae.