For acute ischemic stroke with large vessel occlusion, endovascular thrombectomy (EVT) has emerged as the gold standard of care, yet the vast majority of stroke patients are currently not covered by the existing recommendations. Because of this, there have been ongoing efforts into expanding the indications for EVT. Investigations are focused on broadening patient selection criteria, including occlusion location, time from stroke onset, and extent of infarction on admission imaging.

In this podcast, Johanna Fifi, MD, FAAN, Icahn School of Medicine at Mount Sinai, New York, NY; Raul Nogueira, MD, University of Pittsburgh, Pittsburgh, PA; Pierre Seners, MD, PhD, Rothschild Foundation Hospital, Paris, France; and Permesh Singh Dhillon, BMedSci, BMBS, FRCR, Nottingham University Hospitals NHS Trust, Nottingham, UK, discuss the current controversies surrounding the application of EVT in stroke management and present developments in research regarding patient selection and broadening thrombectomy utilization.