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Mechanical thrombectomy is a ground breaking treatment for acute ischaemic stroke caused by occlusion of a large vessel. Its efficacy over intravenous thrombolysis has been proven in multiple trials with a lower number needed to treat than percutaneous coronary intervention for acute myocardial infarction. However, access to this key treatment modality remains limited with a considerable postcode lottery across the UK and many parts of the world. The evidence base for mechanical thrombectomy dates back to 2015. Since then, there have been important advances in establishing and widening the criteria for treatment. This narrative review aims to summarise the current evidence base and latest advances for physicians and academics with an interest in recanalisation treatments for acute ischaemic stroke.

Comunidad autonoma de catalunaUnited kingdomUnited statesTrevo strykerAmerica american heart associationIreland national clinical guideline for strokeNational clinical guideline for strokeNational institutes of health stroke scaleWhile the national clinical guideline for strokeAmerican stroke associationEuropean stroke organisationWhile the american stroke associationNational institute for healthAmerican heart associationHighly effective reperfusion evaluatedMultiple endovascular stroke