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Semin intervent Radiol
DOI: 10.1055/a-2772-6265
Review Article

A Primer on Medium Vessel Occlusion Stroke: From Detection to Treatment

Authors

  • Gunjan Jindal

    1   Department of Radiology, University of Calgary Cumming School of Medicine, Alberta, Canada

  • Antonio Ciacciarelli

    2   Emergency Department, Policlinico Umberto I, Sapienza University of Rome, Italy

  • Umberto Pensato

    3   Department of Neurology, IRCCS Humanitas Research Hospital, Rozzano, Milan, Italy
    4   Department of Biomedical Sciences, Humanitas University, Milan, Italy

  • Alexander Stebner

    5   Department of Radiology, University Hospital Basel, Basel, Switzerland

  • Johanna M. Ospel

    1   Department of Radiology, University of Calgary Cumming School of Medicine, Alberta, Canada

Funding None.
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Abstract

Acute ischemic stroke due to medium vessel occlusion (MeVO) is now recognized as a distinct ischemic stroke entity. Radiologists are often the first to diagnose a MeVO on neuroimaging, which has implications for acute management, patient prognostication, and secondary stroke prevention. In this review, we discuss the anatomical definition, clinical presentation, and neuroimaging characteristics of MeVO stroke. We also critically revise the evidence behind available treatment options and provide a brief outlook on future directions in MeVO stroke imaging and treatment.

Keywords

ischemia - ischemic stroke - MeVO


Publication History

Article published online:
13 January 2026

© 2025. Thieme. All rights reserved.

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