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Approximately 30% of acute ischemic strokes are due to large vessel occlusion (LVO), the most devastating ischemic stroke type.1 Modern mechanical thrombectomy (MT) approaches have substantially improved patient outcomes compared to best medical therapy.2,3 Recent studies have provided evidence that using imaging indices of acute tissue viability can provide a more individualized approach and expand the treatment window of MT.4 Such innovative neuroimaging selection of patients for MT represents a paradigm shift in acute stroke care because it is based on the underlying pathophysiology driving stroke evolution, rather than depending only on time.
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Go to Neurology.org/N for full disclosures. Funding information and disclosures deemed relevant by the authors, if any, are provided at the end of the article.
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- © 2019 American Academy of Neurology
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