Summary

Strategies to reduce delays to treatment and shorten the time to recanalization are required to improve outcomes with endovascular therapy (ET). Although procedural times are reduced with new technologies, the focus must remain on the front end of care, which consumes 75% of the time to recanalization. This article discusses MRI combined with CT for improved patient selection and outcomes, as well as lessons from the ongoing Endovascular Treatment for Small Core and Proximal Occlusion Ischemic study [ESCAPE; NCT01778335].