An Update of Recent Guideline for the Endovascular Recanalization Therapy in Acute Ischemic Stroke

Author: Hye Seon JEONG ¹
Author Information

1. Department of Neurology, School of Medicine, Chungnam National University, Daejeon-Chungnam Regional Cerebrovascular Center, Daejeon, Korea. jeonghs1028@gmail.com
Publication Type:Review
Keywords: Endovascular procedures; Thrombectomy; Stroke
MeSH: Arteries; Endovascular Procedures; Humans; Prognosis; Stroke; Thrombectomy
From:Journal of the Korean Neurological Association 2018;36(3):145-151
CountryRepublic of Korea
Language:Korean
Abstract: Endovascular recanalization therapy (ERT) has been proven its efficacy in improving prognosis of acute ischemic stroke with intracranial large artery occlusion. Before the DAWN and DEFUSE 3 trials, ERT was recommended for stroke patients who could be treated within 6 hours after the onset of symptoms and the prognosis after ERT has been known time-dependent. However, the most recently published 2 ERT trials performed more than time window of 6 hours showed significant efficacy of ERT to compare with conservative therapy in selected patients. Now we should apply the result of new trials of ERT in the extended time window clinically. Herein, the result of recent ERT trials and the predictive factors affecting prognosis beyond the concept of time in ERT will be discussed.