Expanding the treatment window for ischemic stroke through the application of novel system-based technology

Author:

El-Ghanem Mohammad1,Al-Mufti Fawaz1,Thulasi Venkatraman2,Singh Inder Paul1,Gandhi Chirag1

Affiliation:

1. Department of Neurosurgery,

2. Rutgers University, New Jersey Medical School, Newark, New Jersey

Abstract

Recent randomized controlled trials have demonstrated the superiority of endovascular treatment (ET) over medical management in the treatment of acute ischemic stroke patients with anterior circulation emergent large vessel occlusions (ELVOs). Due to such accumulating evidence, expanding ET has become of paramount importance. Advancements in modern technology have enabled the use of mobile stroke units, telestroke networks, mobile neuroendovascular teams, and smartphone applications that shorten the time window to treatment and, thus, make patients more amenable to ET. Additionally, modifying stroke-screening tools to make them more accessible to first responders and the creation of stroke registries can provide further opportunities for ET.

Publisher

Journal of Neurosurgery Publishing Group (JNSPG)

Subject

Neurology (clinical),General Medicine,Surgery

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