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Abstract: Aim: was to show literature review and personal data on endovascular anatomy of intracranial lesions in patients with acute ischemic stroke. Material and methods: we present clinical data on endovascular revascularization in patients with ischemic stroke, who were operated in Interregional clinical-diagnostic center for the period 2007-2014. Results and conclusion: during cerebral angiography, we should estimate arterial, parenchymal and venous phase. Degree of flow recovery after endovascular reperfusion, is estimated on mTICI score. References 1. Shamalov N.A. Reperfuzionnaja terapija pri ishemicheskom insul'te. Jeffektivnaja farmakoterapija [Reperfusion therapy in ischemic stroke]. 2014; 31: 54-60[ In Russ]. 2. Berkhemer O., Fransen P., Beumer D., et al., A randomized trial of intraarterial treatment for acute ischemic stroke. The 3. 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