title: Mechanical thrombectomy in acute ischemic stroke: Consensus statement by ESO-Karolinska Stroke Update 2014/2015, supported by ESO, ESMINT, ESNR and EAN.
abstract: The original version of this consensus statement on mechanical thrombectomy was approved at the European Stroke Organisation (ESO)-Karolinska Stroke Update conference in Stockholm, 16-18 November 2014. The statement has later, during 2015, been updated with new clinical trials data in accordance with a decision made at the conference. Revisions have been made at a face-to-face meeting during the ESO Winter School in Berne in February, through email exchanges and the final version has then been approved by each society. The recommendations are identical to the original version with evidence level upgraded by 20 February 2015 and confirmed by 15 May 2015. The purpose of the ESO-Karolinska Stroke Update meetings is to provide updates on recent stroke therapy research and to discuss how the results may be implemented into clinical routine. Selected topics are discussed at consensus sessions, for which a consensus statement is prepared and discussed by the participants at the meeting. The statements are advisory to the ESO guidelines committee. This consensus statement includes recommendations on mechanical thrombectomy after acute stroke. The statement is supported by ESO, European Society of Minimally Invasive Neurological Therapy (ESMINT), European Society of Neuroradiology (ESNR), and European Academy of Neurology (EAN).
authors.affiliation: Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden Department of Neurology, Karolinska University Hospital, Stockholm, Sweden nils.wahlgren@karolinska.se.
authors.forename: Nils
authors.initials: N
authors.lastname: Wahlgren
authors.affiliation: Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden Department of Neurology, Karolinska University Hospital, Stockholm, Sweden.
authors.forename: Tiago
authors.initials: T
authors.lastname: Moreira
authors.affiliation: Département des Neurosciences Cliniques, Lausanne, Switzerland.
authors.forename: Patrik
authors.initials: P
authors.lastname: Michel
authors.affiliation: Department of Neurology, University of Heidelberg, Heidelberg, Germany Department of Neurology, Klinikum Frankfurt Höchst, Frankfurt, Germany.
authors.forename: Thorsten
authors.initials: T
authors.lastname: Steiner
authors.affiliation: Department of Radiology and Neuroradiology, UKSH, Kiel, Germany.
authors.forename: Olav
authors.initials: O
authors.lastname: Jansen
authors.affiliation: Department of Diagnostic and Therapeutic Neuroradiology, University Hospital of Toulouse, Toulouse, France.
authors.forename: Christophe
authors.initials: C
authors.lastname: Cognard
authors.affiliation: Department of Neurology, Inselspital, Bern University Hospital, Bern, Switzerland University of Bern, Bern, Switzerland.
authors.forename: Heinrich P
authors.initials: HP
authors.lastname: Mattle
authors.affiliation: Department of Radiology, Maastricht University Medical Centre, Maastricht, The Netherlands.
authors.forename: Wim
authors.initials: W
authors.lastname: van Zwam
authors.affiliation: Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden Department of Neuroradiology, Karolinska University Hospital, Stockholm, Sweden.
authors.forename: Staffan
authors.initials: S
authors.lastname: Holmin
authors.affiliation: Institute of Neuroscience and Physiology, Sahlgrenska Academy of Gothenburg, Gothenburg, Sweden Department of Neurology, Sahlgrenska University Hospital, Gothenburg, Sweden Department of Neurology, Helsinki University Hospital, Helsinki, Finland.
authors.forename: Turgut
authors.initials: T
authors.lastname: Tatlisumak
authors.affiliation: Department of Neurology, Skåne University Hospital, Malmö, Sweden Department of Neurology, Lund University, Lund, Sweden.
authors.forename: Jesper
authors.initials: J
authors.lastname: Petersson
authors.affiliation: Stroke Unit, Santa Maria Hospital, University of Perugia, Perugia, Italy.
authors.forename: Valeria
authors.initials: V
authors.lastname: Caso
authors.affiliation: Department of Neurology, University of Heidelberg, Heidelberg, Germany.
authors.forename: Werner
authors.initials: W
authors.lastname: Hacke
authors.affiliation: Pole Neurosensoriel Tête et Cou, Hôpital Lariboisière, Paris, France.
authors.forename: Mikael
authors.initials: M
authors.lastname: Mazighi
authors.affiliation: Department of Neurology, Inselspital, Bern University Hospital, Bern, Switzerland University of Bern, Bern, Switzerland.
authors.forename: Marcel
authors.initials: M
authors.lastname: Arnold
authors.affiliation: Department of Neurology, Inselspital, Bern University Hospital, Bern, Switzerland University of Bern, Bern, Switzerland.
authors.forename: Urs
authors.initials: U
authors.lastname: Fischer
authors.affiliation: Department of Neurointerventions, National Institute of Clinical Neurosciences, Budapest, Hungary.
authors.forename: Istvan
authors.initials: I
authors.lastname: Szikora
authors.affiliation: Service de Radiologie, Hôpital Maison-Blanche, Reims, France.
authors.forename: Laurent
authors.initials: L
authors.lastname: Pierot
authors.affiliation: Department of Diagnostic and Interventional Neuroradiology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
authors.forename: Jens
authors.initials: J
authors.lastname: Fiehler
authors.affiliation: Department of Diagnostic and Interventional Neuroradiology, Inselspital, Bern University Hospital, Bern, Switzerland.
authors.forename: Jan
authors.initials: J
authors.lastname: Gralla
authors.affiliation: Department of Neurology, Medical University Graz, Graz, Austria.
authors.forename: Franz
authors.initials: F
authors.lastname: Fazekas
authors.affiliation: Department of Cerebrovascular Medicine, University of Glasgow, Glasgow, Scotland, UK Acute Stroke Unit, Western Infirmary, Glasgow, Scotland, UK.
authors.forename: Kennedy R
authors.initials: KR
authors.lastname: Lees
mesh_terms: D002545:Brain Ischemia / Q000628:therapy*; D002986:Clinical Trials as Topic; D005060:Europe; D006801:Humans; D061185:Mechanical Thrombolysis / Q000379:methods; D020521:Stroke / Q000628:therapy*
keywords: Consensus statement; Recommendations; acute stroke therapy; endovascular; mechanical thrombectomy