PT  - JOURNAL ARTICLE
AU  - Ahmad Sweid
AU  - Batoul Hammoud
AU  - Sunidhi Ramesh
AU  - Daniella Wong
AU  - Tyler D Alexander
AU  - Joshua Harrison Weinberg
AU  - Maureen Deprince
AU  - Jaime Dougherty
AU  - Dimitri Jean-Mickael Maamari
AU  - Stavropoula Tjoumakaris
AU  - Hekmat Zarzour
AU  - Michael R Gooch
AU  - Nabeel Herial
AU  - Victor Romo
AU  - David M Hasan
AU  - Robert H Rosenwasser
AU  - Pascal Jabbour
TI  - Acute ischaemic stroke interventions: large vessel occlusion and beyond
AID  - 10.1136/svn-2019-000262
DP  - 2019 Nov 28
TA  - Stroke and Vascular Neurology
PG  - svn-2019-000262
4099  - http://svn.bmj.com/content/early/2019/11/28/svn-2019-000262.short
4100  - http://svn.bmj.com/content/early/2019/11/28/svn-2019-000262.full
AB  - Care for acute ischaemic stroke is one of the most rapidly evolving fields due to the robust outcomes achieved by mechanical thrombectomy. Large vessel occlusion (LVO) accounts for up to 38% of acute ischaemic stroke and comes with devastating outcomes for patients, families and society in the pre-intervention era. A paradigm shift and a breakthrough brought mechanical thrombectomy back into the spotlight for acute ischaemic stroke; this was because five randomised controlled trials from several countries concluded that mechanical thrombectomy for acute stroke offered overwhelming benefits. This review article will present a comprehensive overview of LVO management, techniques and devices used, and the future of stroke therapy. In addition, we review our institution experience of mechanical thrombectomy for posterior and distal circulation occlusion.