Sept essais contrôlés randomisés positifs ont démontré une amélioration clinique grâce à l’approche endovasculaire dans l’AVC ischémique aigu avec occlusion artérielle proximale. Ces études nous permettent d’inclure la thrombectomie dans notre pratique. La connaissance de ces études est essentielle pour la bonne utilisation de la thrombectomie.

Since the recent publications of positive randomized controlled trials, showing clinical improvement by the endovascular treatment of acute ischemic stroke with proximal arterial occlusion, and the publication of guidelines by the references organism, it is impossible to pass through the therapeutic pivot induced by early recanalization which ultimately leads to a good clinical outcome. It is important to be aware of the changes to be applied in healthcare workflows, these recent studies, their limitations, patient selection techniques and available endovascular techniques.