Many controversies on his safety and discussion on evidences that support benefits on long term outcomes, aroused from most of the studies supporting the use of alteplase in stroke patients.
New technologies has been recently developed for endovascular therapy and this made possible a steady step forwar for its use in targeted treatment of obstructed cerebral vessels.
Imaging detection of the lesion, targeted vessels treatment has been applied to a selected group of patients avoiding blind systemic thrombolytic administration.
New studies and good evidences support this technique. Selecting patients with advanced imaging techniques, using the latest stent retriever devices, and performing the intervention earlier is the key of a revolving way to investigate endovascular theraphy in ischemic stroke.
The addition of this tecnique when one of the major cerebral artery is obstructed almost double, according some investigators, the…