• Lotfi Hacein-Bey, Jeremy J Heit, and Angelos A Konstas.
• Interventional Neuroradiology and Neuroradiology, Department of Medical Imaging, Sutter Health, Sacramento, CA 95815, USA; Radiology Department, University of California Davis Medical School of Medicine, 4860 Y Street, Sacramento, CA 95817, USA. Electronic address: lhaceinbey@yahoo.com.
• Neuroimaging Clin. N. Am. 2018 Nov 1; 28 (4): 625-638.

AbstractRestoration of cerebral blood flow is the most important step in preventing irreversible damage to hypoperfused brain cells after ischemic stroke from large-vessel occlusion. For those patients who do not respond to (or are not eligible for) intravenous thrombolysis, endovascular therapy has become standard of care. A shift is currently taking place from rigid time windows for intervention (time is brain) to physiology-driven paradigms that rely heavily on neuroimaging. At this time, one can reasonably anticipate that more patients will be treated, and that outcomes will keep improving. This article discusses in detail recent advances in endovascular stroke therapy.Copyright © 2018 Elsevier Inc. All rights reserved.

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