Endovascular Therapy for Acute Ischemic Stroke: Current Evidence and Evolving Practices.

Authors

Brandon Doan, Mohamad Abdalkader, Farhan Khan, Waldo R Guerero, Nitin Goyal, Kaustubh Limaye, Nabeel Herial, Thanh N Nguyen

Published in

Current cardiology reports. Volume 28. Issue 1. Jul 07, 2026. Epub Jul 07, 2026.

Abstract

This literature review highlights the recent evidence and guidelines for endovascular therapy (EVT) in patients with large-core infarctions, basilar artery occlusions, and patients presenting in the late-window.
EVT provides a functional benefit for patients with large-core infarcts compared to medical management. Similar improvements have been observed in basilar artery occlusions. EVT has also demonstrated reduced disability in late-window presentations when selected by computed tomography angiogram/perfusion (CTA/CTP), or magnetic resonance imaging (MRI). New evidence suggests noncontrast CT (NCCT)-based selection may be an effective alternative. EVT can reduce disability in patients with small and large-core infarcts, basilar artery occlusions, and late-window presentations compared to medical management. To broaden patient eligibility, future research is needed to clarify EVT's efficacy in very large-core infarcts, mild severity strokes, and patients with medium vessel occlusion.

PMID:
42410133
Bibliographic data and abstract were imported from PubMed on 07 Jul 2026.

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