Optimizing endovascular stroke therapy: a primary PCI deja-vu?

Abstract

The optimal revascularization modality (thromboembolectomy, suction thrombectomy, angioplasty with stenting, and stent retriever thrombectomy) for the cerebral circulation remains to be defined Catheter-based therapy of the acute stroke yields better clinical outcomes in patients <65-year-old, with a door-to-balloon time <4 hr and successful reperfusion TICI ≥ 2. Considering the significant incidence of acute strokes which are either ineligible for intravenous thrombolytic therapy or present too late, catheter-based therapies may offer an alternative treatment option. Interventional cardiologists should play an active role in the development of endovascular stroke therapy in a multi-disciplinary team approach.