Mechanical Thrombectomy for Large Ischemic Stroke: A Critical Appraisal of Evidence From 6 Randomized Controlled Trials

作者：Amrou Sarraj, Shinichi Yoshimura, Götz Thomalla, Xiaochuan Huo, Caroline Arquizan, Albert J. Yoo, Takeshi Morimoto, Martin Bendszus, Bertrand Lapergue, Thanh N. Nguyen, Bruce Campbell, Vincent Costalat, Jens Fiehler, Tudor G. Jovin, Osama O. Zaidat, Zhongrong Miao · 发表于：Stroke · 年份：2025 · DOI：10.1161/strokeaha.125.050402 · 被引用次数：16 · 研究领域：Acute Ischemic Stroke Management、Cerebrovascular and Carotid Artery Diseases、Stroke Rehabilitation and Recovery

Recently, 6 randomized trials evaluated the efficacy and safety of endovascular thrombectomy in patients with large core stroke. This review examines the differences in clinical and imaging eligibility and their impact on the interpretation of evidence and potential neuroimaging workflow. Pending results of a planned patient-level meta-analysis, it also evaluates clinical outcomes and thrombectomy treatment effect across those trials, overall and within selected clinical and imaging subgroups most relevant to clinical practice. Additionally, the implications of extending thrombectomy eligibility to patients with large core stroke on stroke systems of care and societal benefits are discussed.