Current concepts in imaging and endovascular treatment of acute ischemic stroke: implications for the clinician

Thijs van der Zijden, Annelies Mondelaers, Laetitia Yperzeele, Maurits Voormolen, Paul M. Parizel

Research output: Contribution to journalReview article

2 Citations (Scopus)

Abstract

During the last decade, the management of acute ischemic stroke has changed dramatically, from an expectant bedside wait and see attitude towards active treatment, thanks to the continuous improvement of new therapeutic options. In addition to the use of intravenous (IV) thrombolysis in emergent large vessel occlusion (ELVO), endovascular therapy (EVT) has proven to be very efficient in selected acute stroke patients. The indications for EVT have progressed from the era of thrombolysis to individual patient profiling. Recently, several indication parameters, e.g., treatment time window or more distal vessel occlusion, are under debate for adjustment. In this article, we review the imaging strategies in acute stroke and discuss several EVT indication dogmas, which are subject to change.

Original languageEnglish
Article number64
Pages (from-to)64
Number of pages10
JournalInsights into Imaging
Volume10
Issue number1
DOIs
Publication statusPublished - 13 Jun 2019
Externally publishedYes

Cite this