Diversity and Collaboration in Endovascular Thrombectomy : Patient Selection, Technique, and Management

Abstract

  Endovascular thrombectomy for acute large vessel occlusion has gained importance with increasing evidence of efficacy over standard medical treatment in multiple randomized trials. Thrombectomy varies widely due to the variety of devices, techniques, workflows, and perioperative management chosen by operators and institutions. These differences are expected to be integrated in the future as evidence accumulates and a consensus is established. On the other hand, the medical environment depends on the local infrastructure. Since the number of primary stroke centers, facilities, human resources, and regional medical cooperation systems differ between regions, it is necessary to respond flexibly and diversely depending on the environment.