Update in the Early Management and Reperfusion Strategies of Patients with Acute Ischemic Stroke

Author:

Mendez Aldo A.1ORCID,Samaniego Edgar A.123,Sheth Sunil A.4,Dandapat Sudeepta123,Hasan David M.2ORCID,Limaye Kaustubh S.1,Hindman Bradley J.5,Derdeyn Colin P.3,Ortega-Gutierrez Santiago123ORCID

Affiliation:

1. Department of Neurology, University of Iowa Hospitals and Clinics, Iowa City, IA, USA

2. Department of Neurosurgery, University of Iowa Hospitals and Clinics, Iowa City, IA, USA

3. Department of Radiology, University of Iowa Hospitals and Clinics, Iowa City, IA, USA

4. Department of Neurology and Neurosurgery, The University of Texas Health Science Center at Houston, Houston, TX, USA

5. Department of Anesthesia, University of Iowa Hospitals and Clinics, Iowa City, IA, USA

Abstract

Acute ischemic stroke (AIS) remains a leading cause of death and long-term disability. The paradigms on prehospital care, reperfusion therapies, and postreperfusion management of patients with AIS continue to evolve. After the publication of pivotal clinical trials, endovascular thrombectomy has become part of the standard of care in selected cases of AIS since 2015. New stroke guidelines have been recently published, and the time window for mechanical thrombectomy has now been extended up to 24 hours. This review aims to provide a focused up-to-date review for the early management of adult patients with AIS and introduce the new upcoming areas of ongoing research.

Publisher

Hindawi Limited

Subject

Critical Care and Intensive Care Medicine

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