Endovascular Intervention in Acute Ischemic Stroke: History and Evolution

Junaid Ansari; Rachel Triay; Sandeep Kandregula; Nimer Adeeb; Hugo Cuellar; Pankaj Sharma

doi:10.3390/biomedicines10020418

Endovascular Intervention in Acute Ischemic Stroke: History and Evolution

Biomedicines. 2022 Feb 10;10(2):418. doi: 10.3390/biomedicines10020418.

Authors

Junaid Ansari¹, Rachel Triay², Sandeep Kandregula³, Nimer Adeeb³, Hugo Cuellar^{3

4}, Pankaj Sharma^{1

4}

Affiliations

¹ Department of Neurology, Louisiana State University Health Shreveport, Shreveport, LA 71130, USA.
² School of Medicine, Louisiana State University Health Shreveport, Shreveport, LA 71130, USA.
³ Department of Neurosurgery, Louisiana State University Health Shreveport, Shreveport, LA 71130, USA.
⁴ Department of Radiology, Louisiana State University Health Shreveport, Shreveport, LA 71130, USA.

Abstract

Stroke is a leading cause of serious long-term disability in the US. Endovascular therapy (EVT), in the form of mechanical thrombectomy, is now a standard of care for patients with acute ischemic stroke with a large vessel occlusion. This article reviews the evolution of EVT in the management of acute ischemic stroke and how it has led to the concept of tissue window over the widely publicized time window.

Keywords: acute ischemic stroke; mechanical thrombectomy; modified Rankin scale; stent retriever.

Publication types

Review