Endovascular Therapy for Acute Ischemic Stroke: The Need for Speed

Within 4.5 hours after ischemic stroke, endovascular therapy is more beneficial the sooner it is performed.

For patients with acute ischemic stroke, the mantra of “time is brain” was first instituted during the thrombolysis era. Whether endovascular therapy (EVT) for patients with large vessel occlusion has the same dependence on time is less certain.

These authors analyzed data from the Get with the Guidelines–Stroke registry of the American Heart Association. During a 2-year period (2015–2016), data from 6756 patients (mean age, 69.5 years; 51% women) were available. The authors analyzed two key variables: Time from stroke onset to groin puncture (onset to puncture) and time from hospital arrival to groin puncture (door to puncture). Key study endpoints included independent ambulation at discharge, functional independence at discharge, and disch…

Reviewing Author

Seemant Chaturvedi, MD

Disclosures

Consultant/Advisory BoardBayer Pharmaceuticals; Novartis

Grant/Research SupportNational Institute of Neurological Disorders and Stroke

Editorial BoardsNeurology; Stroke

Seemant Chaturvedi, MD

Disclosures

Consultant/Advisory BoardBayer Pharmaceuticals; Novartis

Grant/Research SupportNational Institute of Neurological Disorders and Stroke

Editorial BoardsNeurology; Stroke

Endovascular Therapy for Acute Ischemic Stroke: The Need for Speed

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Reviewing Author