The impact of recent guidelines for endovascular management of emergent large vessel occlusion (ELVO) awarding top tier evidence to the same selective criteria in recent trials is discussed in this podcast.

The Editor-in-Chief of JNIS Felipe Albuquerque talks to the two main authors of the study, "Implications of limiting mechanical thrombectomy to patients with emergent large vessel occlusion meeting top tier evidence criteria". Rohini Bhole and Adam Arthur (University of Tennessee Health Sciences Center) explain how guideline adherence impacted treatment numbers and outcomes in a cohort of patients from a comprehensive stroke centre.