Authors
Ryan A McTaggart, Sameer A Ansari, Mayank Goyal, Todd A Abruzzo, Barb Albani, Adam J Arthur, Michael J Alexander, Felipe C Albuquerque, Blaise Baxter, Ketan R Bulsara, Michael Chen, Josser E Delgado Almandoz, Justin F Fraser, Donald Frei, Chirag D Gandhi, Don V Heck, Steven W Hetts, M Shazam Hussain, Michael Kelly, Richard Klucznik, Seon-Kyu Lee, Thabele Leslie-Mawzi, Philip M Meyers, Charles J Prestigiacomo, G Lee Pride, Athos Patsalides, Robert M Starke, Peter Sunenshine, Peter A Rasmussen, Mahesh V Jayaraman
Publication date
2017/3/1
Source
Journal of neurointerventional surgery
Volume
9
Issue
3
Pages
316-323
Publisher
British Medical Journal Publishing Group
Description
Objective
To summarize the current literature regarding the initial hospital management of patients with acute ischemic stroke (AIS) secondary to emergent large vessel occlusion (ELVO), and to offer recommendations designed to decrease the time to endovascular treatment (EVT) for appropriately selected patients with stroke.
Methods
Using guidelines for evidenced-based medicine proposed by the Stroke Council of the American Heart Association, a critical review of all available medical literature supporting best initial medical management of patients with AIS secondary to ELVO was performed. The purpose was to identify processes of care that most expeditiously determine the eligibility of a patient with an acute stroke for interventions including intravenous fibrinolysis with recombinant tissue plasminogen activator (IV tPA) and EVT using mechanical embolectomy.
Results
This review identifies four elements that …
Total citations
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