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Current Recommendations for Endovascular Interventions in the Treatment of Ischemic Stroke

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Abstract

Ischemic stroke remains one of the leading cause of adult death and disability in the United States. Reperfusion of the occluded vessel is the standard of care in the setting of acute ischemic stroke according to established guidelines. Since the introduction of intravenous (IV) recombinant tissue plasminogen activator (rt-PA) in the late 1990s, significant advances have been made in methods to deliver thrombolytic agents and in devices for mechanical recanalization of occluded vessels. Furthermore, improvements in patient selection contribute to achievement of good clinical outcomes after endovascular therapy. This article summarizes findings from recent clinical trials and presents evidence-based guidelines for endovascular interventions in the treatment of ischemic stroke.

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Authors and Affiliations

  1. Interventional Neuroradiology, Departments of Radiology and Neurological Surgery, Columbia University, College of Physicians and Surgeons, New York, NY, USA

    Geoffrey Appelboom, Dorothea Strozyk & Philip M. Meyers

  2. Interventional Neuroradiology, Departments of Radiology, Neurological Surgery, Neurology, and Anesthesiology, University of California at San Fransisco, San Fransisco, CA, USA

    Randall T. Higashida

  3. Radiology and Neurological Surgery, Columbia University, College of Physicians & Surgeons, Neurological Institute of New York, 710 West 168th Street, Rm 428, New York, NY, 10032, USA

    Philip M. Meyers

Authors
  1. Geoffrey Appelboom
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  2. Dorothea Strozyk
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  3. Philip M. Meyers
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  4. Randall T. Higashida
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Correspondence to Philip M. Meyers.

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Appelboom, G., Strozyk, D., Meyers, P.M. et al. Current Recommendations for Endovascular Interventions in the Treatment of Ischemic Stroke. Curr Atheroscler Rep 12, 244–250 (2010). https://doi.org/10.1007/s11883-010-0115-6

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  • DOI: https://doi.org/10.1007/s11883-010-0115-6

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