Endovascular treatments for ischemic stroke: Present status and prospects

Abstract

Endovascular treatments for ischemic stroke (IS) are coming into clinical practice and, as shown by recent investigations, have good prospects. These treatments for IS make it possible to expand indications for revascularization and to create prerequisite for improving the outcomes of treatment.Interventional treatments for IS should not be set off against intravenous thrombolytic therapy (ITT); it is necessary to seek their reasonable sharing. The promising directions in the development of ITT and endovascular revascularization (EVR) for IS are to upgrade tools and to choose the safest and most effective constructions, as well as to identify target patient groups needing these treatment options based on the prediction of the efficacy of these techniques with consideration for clinical findings, the pattern of a lesion, and radiological data (including estimates of perfusion, ischemic core-penumbra relationships, and collateral blood supply intensity).The paper discusses the present status and prospects of EVR of cerebrovascular arteries, its indications, and basic procedures.

Keywords

• ischemic stroke
• endovascular revascularization
• thrombectomy
• intra-arterial thrombolysis