Maged Ali Hegazy Shoukeer , Malek Yahya Mohammed Alshahrani , Saleh Salem Hussain Al Qahtani , Fahad Aedh Alghamdi , Omar Abdullah S. Alshahrani
Background: Imaging the brain and the vasculature that supplies it is therefore a vital first step in treating patients with acute stroke. A computed tomographic (CT) scan of the brain is needed in such patients to rule out hemorrhage before intravenous tPA can be given. Non-contrast CT (NCCT) is the most widely used first-line imaging tool in patients with acute stroke. NCCT is quick to acquire, widely available, and discriminates reliably between ischemia and hemorrhage. Objective: In this review, we looked into the cerebrovascular stroke and the role of interventional radiology in diagnosis, and management of stroke patients. Methodology: Simple Review article. The review is comprehensive research of Medline, Google scholar, EMBASE and PubMed databases since the year 2000 to 2018. Conclusion: Because of its high vulnerability, brain tissue may be already irreversibly injured at the onset of ischemic stroke. A specific intervention could then rescue brain tissue, restore function, and prevent disability and death. Moreover, endovascular interventions can decrease the risk of stroke in patients with arterial stenosis or malformations. Cerebrovascular interventional radiology treatments expand the treatment options for acute ischemic stroke victims. In addition, Endovascular Thrombectomy (EVT) is proven to provide better clinical outcomes in patients with ischemic strokes caused by large-vessel occlusion compared with best medical therapy alone Key words: Cerebrovascular stroke, interventional radiology, treatment options, acute ischemic stroke victims.