Clinical considerations and assessment of risk factors when choosing endovascular thrombectomy for acute stroke

Introduction The advent of endovascular thrombectomy (EVT) has been a game changer for the management of acute ischemic stroke due to large vessel occlusion. However, the selection of suitable candidates for EVT remains a significant challenge.Areas covered This review focuses on the clinical, radiological, and procedural considerations for EVT in acute stroke that assist in optimal patient selection.Expert opinion All patients presenting with significant clinical deficits with treatable occlusions, who have salvageable brain tissue at presentation might benefit from treatment up to twenty-four hours from symptom onset. Neuroimaging tools form the backbone for this decision making.