Canadian Stroke Best Practice Recommendations: Endovascular Thrombectomy for Acute Ischemic Stroke, Interim Update 2025
Emerging evidence has led to an interim review of the existing 2022 <i>Canadian Stroke Best Practice Recommendations (CSBPR) for Acute Stroke Management</i>, 7th edition, recommendations for endovascular treatment of acute ischemic stroke. This manuscript presents an update of the recommendations for endovascular treatment, addressing the issues of posterior circulation stroke, stroke with a large core and stroke with medium vessel occlusion (MeVO). These recommendations are a timely opportunity to reassess current processes to ensure efficient access to acute stroke diagnostics, treatments and management strategies, proven to reduce mortality and morbidity. These updated recommendations supersede the endovascular thrombectomy recommendations included in the 2022 publication of the CSBPR acute stroke management module. Additional materials to support timely implementation and quality monitoring of these recommendations are available at www.strokebestpractices.ca.
Authors
- Gord Gubitz (ORCID: https://orcid.org/0000-0001-7999-7728)
- David Volders (ORCID: https://orcid.org/0000-0003-4074-8702)
- Manraj Ks Heran
- Anita Mountain (ORCID: https://orcid.org/0000-0003-4214-7556)
- Michel Christopher Frank Shamy (ORCID: https://orcid.org/0000-0002-0085-6816)
- M. Patrice Lindsay (ORCID: https://orcid.org/0000-0002-2584-8580)
- Dylan Blacquière (ORCID: https://orcid.org/0000-0002-8421-2646)
- Michael D. Hill (ORCID: https://orcid.org/0000-0002-6269-1543)
- R. Lund (ORCID: https://orcid.org/0009-0007-6748-7246)
- Norine Foley
Institutions
- Dalhousie University (CA)
- University of British Columbia (CA)
- University of Ottawa (CA)
- University of Calgary (CA)
- University of Toronto (CA)
- Heart and Stroke Foundation (CA)
- Queen Elizabeth II Health Sciences Centre (CA)
- Ottawa Hospital (CA)
- RED Consulting (Norway) (NO)
- Ottawa Hospital Research Institute (CA)
- PA Consulting Group (GB)
Publication Details
- Journal
- Canadian Journal of Neurological Sciences / Journal Canadien des Sciences Neurologiques
- Published
- 2025-12-04
- DOI
- https://doi.org/10.1017/cjn.2025.10444
- Citations
- 2
- Primary Topic
- Acute Ischemic Stroke Management
- Type
- article
- Field-Weighted Citation Impact
- 2.71