Title

Direct Angiographic Intervention for Acute Ischemic Stroke with Large Vessel Occlusion

Document Type

Article

Publication Date

2021

Keywords

Acute ischemic stroke, large vessel occlusion, direct transfer, angiosuite, multimodal imaging

Abstract

Background: Rapid and effective revascularization is the cornerstone of acute ischemic stroke treatment. Endovascular thrombectomy reperfusion has dramatically changed patients’ outcomes with large vessel occlusions. Results of randomized controlled trials have shown that the benefit of this treatment is highly time-sensitive. The purpose of this review is to introduce a new approach to acute stroke treatment – direct angiographic intervention for selected patients. Methods & Results: We examined the issues related to the current guideline-based practice, emphasizing whether the benefit of using advanced multimodal imaging is worth the potential resultant disability generated by delayed reperfusion times. The published evidence supporting this novel concept was reviewed, its safety and feasibility discussed, and appropriate predictive tools for patient selection explored. Conclusion: This new approach may provide benefits for appropriately selected patients. Further prospective trials are needed to clarify the risk-versus-benefit of this approach.

Digital Object Identifier (DOI)

https://doi.org/10.1080/01616412.2021.1939485

Citation / Publisher Attribution

A Journal of Progress in Neurosurgery, Neurology and Neurosciences, v. 43, issue 11, p. 926-931

Was this content written or created while at USF?

Yes

Share

COinS