Work

Current concepts in imaging and endovascular treatment of acute ischemic stroke: implications for the clinician

Year: 2019

Type: review

Abstract: During the last decade, the management of acute ischemic stroke has changed dramatically, from an expectant bedside "wait and see" attitude towards active treatment, thanks to the continuous improvement of new therapeutic options. In addition to the use of intravenous (IV) thrombolysis in emergent large vessel occlusion (ELVO), endovascular therapy (EVT) has proven to be very efficient in selected acute stroke patients. The indications for EVT have progressed from the era of thrombolysis to individual patient profiling. Recently, several indication parameters, e.g., "treatment time window" or "more distal vessel occlusion," are under debate for adjustment. In this article, we review the imaging strategies in acute stroke and discuss several EVT indication dogmas, which are subject to change.

Source: Insights into Imaging

DOI: 10.1186/s13244-019-0744-4

Authors: Thijs van der Zijden, Annelies Mondelaers, Laetitia Yperzeele, Maurits Voormolen, Paul M. Parizel

Institutions: University of Antwerp, Antwerp University Hospital

Language: English

Topic: Acute Ischemic Stroke Management

Subfield: Clinical Neurology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,105