What Is the Optimal Technique for Endovascular Stroke Treatment?

A randomized trial compared use of a stent retriever alone and with aspiration.

Endovascular thrombectomy (EVT) has been demonstrated to improve outcomes for selected patients with a large vessel occlusion (LVO) and acute ischemic stroke. Relatively few studies have compared different endovascular techniques. These authors conducted a trial of patients who could be treated within 8 hours of stroke onset, had evidence of a LVO, and were randomly assigned to treatment with a stent retriever (SR) alone or SR plus aspiration (SR+A). The primary study outcome was excellent recanalization as evidenced by angiography. Clinical outcomes were also recorded up to 12 months after the stroke.

Among 405 patients enrolled (mean age 73 years; 54% women), approximately two thirds had an occlusion in the proximal middle cerebral artery.…

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

What Is the Optimal Technique for Endovascular Stroke Treatment?

Topics

Reviewing Author