Rinsho Shinkeigaku (Clinical Neurology)

Super Expert Session 01

Current and future prospects of endovascular treatment for acute ischemic stroke

Tomonori Iwata, M.D., F.A.H.A.1)

1)Department of Stroke Treatment, Shonan Kamakura General Hospital Stroke Center

Recently, remarkable progress has been made in the field of endovascular treatment, and endovascular treatment for acute ischemic stroke due to large vessel occlusion has been an effective and therapeutic option. However, there is no randomized control trial as to superiority of endovascular treatment for acute ischemic stroke compared to the standard treatment including intravenous rt-PA. Inclusion criteria for the performance of endovascular treatment for acute ischemic stroke will need to be defined more precisely, and high rates of fast recanalization will be needed in future. We expect the evidence that endovascular treatment for acute ischemic stroke due to large vessel occlusion is superior to standard treatment by the detailed images of the brain, more strict indications and novel endovascular devices such as percutaneous transluminal mechanical thrombectomy devices.
Full Text of this Article in Japanese PDF (378K)

(CLINICA NEUROL, 54: 1200|1202, 2014)
key words: endovascular treatment, acute ischemic stroke, RCT, percutaneous transluminal mechanical thrombectomy devices

(Received: 23-May-14)