Endovascular Thrombectomy for Ischemic Stroke With Large Infarct

Endovascular thrombectomy (EVT) is a safe and effective treatment for acute ischemic stroke caused by large vessel occlusion. However, earlier randomized trials of endovascular thrombectomy did not include many patients with large infarctions, leading to their exclusion from this treatment. Recent randomized trials have shown that endovascular thrombectomy is superior to medical management alone in improving functional outcomes in ischemic stroke cases with large infarcts. This commentary provides an overview of these trials and discusses important considerations for implementing these results into clinical practice.