Large Vessel Occlusion Stroke Detection in the Prehospital Environment-Reference-Cited by-同舟云学术

Large Vessel Occlusion Stroke Detection in the Prehospital Environment

Published:2021-06-28 Issue:3 Volume:9 Page:64-72
ISSN:2167-4884
Container-title:Current Emergency and Hospital Medicine Reports
language:en
Short-container-title:Curr Emerg Hosp Med Rep

Author:

Patrick Lauren^ORCID,Smith Wade,Keenan Kevin J.

Abstract

Abstract Purpose of Review Endovascular therapy for acute ischemic stroke secondary to large vessel occlusion (LVO) is time-dependent. Prehospital patients with suspected LVO stroke should be triaged directly to specialized stroke centers for endovascular therapy. This review describes advances in LVO detection among prehospital suspected stroke patients. Recent Findings Clinical prehospital stroke severity tools have been validated in the prehospital setting. Devices including EEG, SSEPs, TCD, cranial accelerometry, and volumetric impedance phase-shift-spectroscopy have recently published data regarding LVO detection in hospital settings. Mobile stroke units bring thrombolysis and vessel imaging to patients. Summary The use of a prehospital stroke severity tool for LVO triage is now widely supported. Ease of use should be prioritized as there are no meaningful differences in diagnostic performance amongst tools. LVO diagnostic devices are promising, but none have been validated in the prehospital setting. Mobile stroke units improve patient outcomes and cost-effectiveness analyses are underway.

Publisher

Springer Science and Business Media LLC

Subject

General Medicine

Link

https://link.springer.com/content/pdf/10.1007/s40138-021-00234-9.pdf

Reference66 articles.

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