编者按对于缺血性卒中治疗来说,2015年是革命性的一年,多项随机对照临床试验证实了机械取栓可显著提高颅内前循环大血管急性闭塞患者的血管再通率,改善患者临床预后。随后,机械取栓治疗方案改写了全球缺血性卒中急性期治疗的指南,这是近20年来卒中治疗史上一座里程碑式治疗革新。可以明确的是,对于急性缺血性卒中患者,当发病时间短、影像学上有可挽救的半暗带组织及良好的侧支循环时,血管内治疗是一种安全有效的治疗方式。虽然临床研究已经证实急性缺血 Editor’s note 2015 is a revolutionary year for ischemic stroke and several randomized controlled trials have demonstrated that mechanical thrombectomy improves significantly the rate of revascularization in patients with acutely occluded major vessels of the anterior circulation of the brain and improves Patient’s clinical prognosis. Subsequently, the mechanical thrombectomy regimen rewritten guidelines for the treatment of acute ischemic stroke in the world, a milestone in the history of stroke in the past 20 years. What is clear is that endovascular therapy is a safe and effective treatment for patients with acute ischemic stroke when the time to onset is short, radiologically preserved penumbra tissue, and good collateral circulation. Although clinical studies have confirmed acute ischemia