Cor Vasa 2016, 58(2):e187-e192 | DOI: 10.1016/j.crvasa.2015.11.009

The key messages from 2015 North American (US and Canada) Guidelines for the Early Management of Patients With Acute Ischemic Stroke: Focus on endovascular treatment

Petr Widimský
Kardiocentrum 3. lékařské fakulty Univerzity Karlovy a Fakultní nemocnice Královské Vinohrady, Praha, Česká republika

Recently published randomized trials collected large evidence supporting endovascular interventions as the most effective treatment of acute ischemic stroke. The first two scientific societies (one in the US, another in Canada) reflected this evidence into new guidelines. The key messages along with the personal view of the author are presented in this manuscript.

Keywords: Acute stroke; Endovascular intervention; Stent-retriever; Thrombectomy

Received: October 29, 2015; Revised: November 27, 2015; Accepted: November 29, 2015; Published: April 1, 2016  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Widimský P. The key messages from 2015 North American (US and Canada) Guidelines for the Early Management of Patients With Acute Ischemic Stroke: Focus on endovascular treatment. Cor Vasa. 2016;58(2):e187-192. doi: 10.1016/j.crvasa.2015.11.009.
Download citation

References

  1. O.A. Berkhemer, P.S. Fransen, D. Beumer, the MR CLEAN Investigators, A randomized trial of intraarterial treatment for acute ischemic stroke, New England Journal of Medicine 372 (2015) 11-20. Go to original source... Go to PubMed...
  2. M. Goyal, A.M. Demchuk, B.K. Menon, the ESCAPE Trial Investigators, Randomized assessment of rapid endovascular treatment of ischemic stroke, New England Journal of Medicine 372 (2015) 1019-1030. Go to original source... Go to PubMed...
  3. Campbell BC, Mitchell PJ, Kleinig TJ; the EXTEND-IA Investigators, Endovascular therapy for ischemic stroke with perfusion-imaging selection, New England Journal of Medicine 372 (2015) 1009-1018. Go to original source... Go to PubMed...
  4. J.L. Saver, M. Goyal, A. Bonafe, et al., SWIFT PRIME Investigators. Stent-Retriever Thrombectomy after Intravenous t-PA vs. t-PA Alone in Stroke, New England Journal of Medicine 372 (2015) 2285-2295. Go to original source... Go to PubMed...
  5. T.G. Jovin, A. Chamorro, E. Cobo, et al., REVASCAT Trial Investigators. Thrombectomy within 8 hours after symptom onset in ischemic stroke, New England Journal of Medicine 372 (2015) 2296-2306. Go to original source... Go to PubMed...
  6. J. Mocco, P. Khatri, et al., THERAPY trial, bude publikován záhy, zprávu z European Stroke Conference 2015 naleznete na webové stránce http://www.medscape.com/viewarticle/843401.
  7. S. Bracard, et al., THRACE trial, bude publikován záhy, zprávu z European Stroke Conference 2015 naleznete na webové stránce http://www.medscape.com/viewarticle/843411.
  8. W.J. Powers, C.P. Derdeyn, J. Biller, et al., American Heart Association Stroke Council, 2015 American Heart Association/American Stroke Association Focused Update of the 2013 Guidelines for the Early Management of Patients With Acute Ischemic Stroke Regarding Endovascular Treatment: a guideline for healthcare professionals from the American Heart Association/American Stroke Association, Stroke 46 (2015) 3020-3035. Go to original source... Go to PubMed...
  9. E.C. Jauch, J.L. Saver, H.P. Adams, et al., on behalf of the American Heart Association Stroke Council, Council on Cardiovascular Nursing, Council on Peripheral Vascular Disease, and Council on Clinical Cardiology, Guidelines for the Early Management of Patients With Acute Ischemic Stroke. A guideline for healthcare professionals from the American Heart Association/American Stroke Association, Stroke 44 (2013) 870-947. Go to original source... Go to PubMed...
  10. L.K. Casaubon, J.M. Boulanger, D. Blacquiere, et al., Heart and Stroke Foundation of Canada, Canadian Stroke Best Practices Advisory Committee. Canadian Stroke Best Practice Recommendations: Hyperacute Stroke Care Guidelines, Update 2015, International Journal of Stroke 10 (2015) 924-940. Go to original source... Go to PubMed...
  11. P. Widimsky, L.N. Hopkins, Catheter-based interventions for acute ischemic stroke. European Heart Journal (2015) http://dx.doi.org/10.1093/eurheartj/ehv521[E-pub ahead of print, October 1, 2015]. Go to original source... Go to PubMed...




Cor et Vasa

You are accessing a site intended for medical professionals, not the lay public. The site may also contain information that is intended only for persons authorized to prescribe and dispense medicinal products for human use.

I therefore confirm that I am a healthcare professional under Act 40/1995 Coll. as amended by later regulations and that I have read the definition of a healthcare professional.