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Mechanical thrombectomy for large ischemic stroke: a critical appraisal of evidence from 6 randomized controlled trials

Recently, 6 randomized trials evaluated the efficacy and safety of endovascular thrombectomy in patients with large core stroke. This review examines the differences in clinical and imaging eligibility and their impact on the interpretation of evidence and potential neuroimaging workflow. Pending re...

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Main Authors: Sarraj, Amrou (Author) , Yoshimura, Shinichi (Author) , Thomalla, Götz (Author) , Huo, Xiaochuan (Author) , Arquizan, Caroline (Author) , Yoo, Albert J. (Author) , Morimoto, Takeshi (Author) , Bendszus, Martin (Author) , Lapergue, Bertrand (Author) , Nguyen, Thanh N. (Author) , Campbell, Bruce C.V. (Author) , Costalat, Vincent (Author) , Fiehler, Jens (Author) , Jovin, Tudor G. (Author) , Zaidat, Osama O. (Author) , Miao, Zhongrong (Author)
Format: Article (Journal)
Language:English
Published: July 2025
In: Stroke
Year: 2025, Volume: 56, Issue: 7, Pages: 1917-1927
ISSN:1524-4628
DOI:10.1161/STROKEAHA.125.050402
Online Access:Verlag, kostenfrei, Volltext: https://doi.org/10.1161/STROKEAHA.125.050402
Verlag, kostenfrei, Volltext: https://www.ahajournals.org/doi/10.1161/STROKEAHA.125.050402
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Author Notes:Amrou Sarraj, Shinichi Yoshimura, Götz Thomalla, Xiaochuan Huo, Caroline Arquizan, Albert J. Yoo, Takeshi Morimoto, Martin Bendszus, Bertrand Lapergue, Thanh N. Nguyen, Bruce C.V. Campbell, Vincent Costalat, Jens Fiehler, Tudor G. Jovin, Osama O. Zaidat, Zhongrong Miao
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Summary:Recently, 6 randomized trials evaluated the efficacy and safety of endovascular thrombectomy in patients with large core stroke. This review examines the differences in clinical and imaging eligibility and their impact on the interpretation of evidence and potential neuroimaging workflow. Pending results of a planned patient-level meta-analysis, it also evaluates clinical outcomes and thrombectomy treatment effect across those trials, overall and within selected clinical and imaging subgroups most relevant to clinical practice. Additionally, the implications of extending thrombectomy eligibility to patients with large core stroke on stroke systems of care and societal benefits are discussed.
Item Description:Erstveröffentlichung: 20. Mai 2025
Gesehen am 19.01.2026
Physical Description:Online Resource
ISSN:1524-4628
DOI:10.1161/STROKEAHA.125.050402

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