Endovascular Thrombectomy for Anterior Circulation Large Vessel Occlusion Stroke: An Evolution of Trials

作者：N.V. Starikova, Silja Räty, Daniel Strbian, Daniel P. O. Kaiser, Johannes C. Gerber, Xiaochuan Huo, Zhongming Qiu, Dawei Chen, Johannes Kaesmacher, Lars-Peder Pallesen, Kristian Barlinn, Dapeng Sun, Mohamad K. Abdalkader, Thanh N. Nguyen, Simon Nagel, Zhongrong Miao, Volker Puetz · 发表于：Seminars in Neurology · 年份：2023 · DOI：10.1055/s-0043-1771454 · 被引用次数：25 · 研究领域：Acute Ischemic Stroke Management、Peripheral Artery Disease Management、Venous Thromboembolism Diagnosis and Management

The last decade's progress in demonstrating the clinical benefit of endovascular thrombectomy (EVT) in patients with large vessel occlusion stroke has transformed the paradigm of care for these patients. This review presents the milestones in implementing EVT as standard of care, demonstrates the current state of evidence, provides guidance for identifying the candidate patient for EVT, and highlights unsolved and controversial issues. Ongoing trials investigate broadening of EVT indications for patients who present with large core infarction, adjunctive intra-arterial thrombolysis, medium vessel occlusion, low NIHSS, and tandem occlusion.