title: Developing practice recommendations for endovascular revascularization for acute ischemic stroke.
abstract: Guidelines have been established for the management of acute ischemic stroke; however, specific recommendations for endovascular revascularization therapy are lacking. Burgeoning investigation of endovascular revascularization therapies for acute ischemic stroke, rapid device development, and a diverse training background of the providers performing the procedures underscore the need for practice recommendations. This review provides a concise summary of the Society of Vascular and Interventional Neurology endovascular acute ischemic stroke roundtable meeting. This document was developed to review current clinical efficacy of pharmacologic and mechanical revascularization therapy, selection criteria, periprocedure management, and endovascular time metrics and to highlight current practice patterns. It therefore provides an outline for the future development of multisociety guidelines and recommendations to improve patient selection, procedural management, and organizational strategies for revascularization therapies in acute ischemic stroke.
authors.affiliation: Medical College of Wisconsin/Froedtert Hospital, Milwaukee, WI, USA.
authors.forename: Marc A
authors.initials: MA
authors.lastname: Lazzaro
authors.forename: Roberta L
authors.initials: RL
authors.lastname: Novakovic
authors.forename: Andrei V
authors.initials: AV
authors.lastname: Alexandrov
authors.forename: Ziad
authors.initials: Z
authors.lastname: Darkhabani
authors.forename: Randall C
authors.initials: RC
authors.lastname: Edgell
authors.forename: Joey
authors.initials: J
authors.lastname: English
authors.forename: Donald
authors.initials: D
authors.lastname: Frei
authors.forename: Dara G
authors.initials: DG
authors.lastname: Jamieson
authors.forename: Vallabh
authors.initials: V
authors.lastname: Janardhan
authors.forename: Nazli
authors.initials: N
authors.lastname: Janjua
authors.forename: Rashid M
authors.initials: RM
authors.lastname: Janjua
authors.forename: Irene
authors.initials: I
authors.lastname: Katzan
authors.forename: Pooja
authors.initials: P
authors.lastname: Khatri
authors.forename: Jawad F
authors.initials: JF
authors.lastname: Kirmani
authors.forename: David S
authors.initials: DS
authors.lastname: Liebeskind
authors.forename: Italo
authors.initials: I
authors.lastname: Linfante
authors.forename: Thanh N
authors.initials: TN
authors.lastname: Nguyen
authors.forename: Jeffrey L
authors.initials: JL
authors.lastname: Saver
authors.forename: Lori
authors.initials: L
authors.lastname: Shutter
authors.forename: Andrew
authors.initials: A
authors.lastname: Xavier
authors.forename: Dileep
authors.initials: D
authors.lastname: Yavagal
authors.forename: Osama O
authors.initials: OO
authors.lastname: Zaidat
mesh_terms: D002545:Brain Ischemia / Q000175:diagnosis / Q000628:therapy*; D002548:Cerebral Revascularization / Q000379:methods / Q000592:standards*; D057510:Endovascular Procedures / Q000379:methods / Q000592:standards*; D006801:Humans; D018579:Patient Selection; D017410:Practice Guidelines as Topic / Q000592:standards*; D020521:Stroke / Q000175:diagnosis / Q000628:therapy*