Endovascular treatment of acute ischemic stroke: current indications

Tech Vasc Interv Radiol. 2012 Mar;15(1):33-40. doi: 10.1053/j.tvir.2011.12.013.


Endovascular stroke therapy is an effective means of achieving reperfusion in stroke patients with proximal cerebral artery occlusions. However, current guideline recommendations express uncertainty regarding the clinical efficacy of catheter-based treatments, given the lack of supportive trial data. A critical problem is that it remains unclear which patients will benefit from endovascular therapy. As such, patient selection is likely highly variable in clinical practice. This article will review the existing data to discuss the clinical and imaging factors that are relevant to patient outcomes, and which may be used to guide endovascular treatment decisions. Anterior circulation strokes represent the primary focus of this review.

Publication types

  • Review

MeSH terms

  • Brain Ischemia / complications
  • Brain Ischemia / diagnostic imaging
  • Brain Ischemia / surgery*
  • Endovascular Procedures / instrumentation
  • Endovascular Procedures / methods*
  • Endovascular Procedures / trends*
  • Evidence-Based Medicine*
  • Humans
  • Radiography
  • Stroke / diagnostic imaging
  • Stroke / etiology
  • Stroke / surgery*