Standards of Practice in Acute Ischemic Stroke Intervention International Recommendations
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Standards of Practice in Acute Ischemic Stroke Intervention International Recommendations. / Pierot, Laurent; Jarayaman, Mahesh; Szikora, Istvan; Hirsch, Joshua; Baxter, Blaise; Miyachi, Shigeru; Mahadevan, Jeyaledchumy; Chong, Winston; Mitchell, Peter J; Coulthard, Alan; Rowley, Howard A; Sanelli, Pina C; Tampieri, Donatella; Brouwer, Patrick; Fiehler, Jens; Kocer, Naci; Vilela, Pedro; Rovira, Alex; Fischer, Urs; Caso, Valeria; van der Wort, Bart; Sakai, Nobuyuki; Matsumaru, Yuji; Yoshimura, Shin-Ichi; Biscoito, Luisa; Pumar, Manuel; Diaz, Orlando; Fraser, Justin; Lifante, Italo; Liebeskind, David S; Nogueira, Raul G; Hacke, Werner; Brainin, Michael; Yan, Bernard; Soderman, Michael; Taylor, Allan; Pongpech, Sirintara; Terbrugge, Karel.
In: CAN J NEUROL SCI, Vol. 46, No. 3, 05.2019, p. 269-274.Research output: SCORING: Contribution to journal › Other (editorial matter etc.) › Research
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TY - JOUR
T1 - Standards of Practice in Acute Ischemic Stroke Intervention International Recommendations
AU - Pierot, Laurent
AU - Jarayaman, Mahesh
AU - Szikora, Istvan
AU - Hirsch, Joshua
AU - Baxter, Blaise
AU - Miyachi, Shigeru
AU - Mahadevan, Jeyaledchumy
AU - Chong, Winston
AU - Mitchell, Peter J
AU - Coulthard, Alan
AU - Rowley, Howard A
AU - Sanelli, Pina C
AU - Tampieri, Donatella
AU - Brouwer, Patrick
AU - Fiehler, Jens
AU - Kocer, Naci
AU - Vilela, Pedro
AU - Rovira, Alex
AU - Fischer, Urs
AU - Caso, Valeria
AU - van der Wort, Bart
AU - Sakai, Nobuyuki
AU - Matsumaru, Yuji
AU - Yoshimura, Shin-Ichi
AU - Biscoito, Luisa
AU - Pumar, Manuel
AU - Diaz, Orlando
AU - Fraser, Justin
AU - Lifante, Italo
AU - Liebeskind, David S
AU - Nogueira, Raul G
AU - Hacke, Werner
AU - Brainin, Michael
AU - Yan, Bernard
AU - Soderman, Michael
AU - Taylor, Allan
AU - Pongpech, Sirintara
AU - Terbrugge, Karel
N1 - Leitlinie, Handlungsempfehlungen
PY - 2019/5
Y1 - 2019/5
N2 - After five positive randomized controlled trials showed benefit of mechanical thrombectomy in the management of acute ischemic stroke with emergent large-vessel occlusion, a multi-society meeting was organized during the 17th Congress of the World Federation of Interventional and Therapeutic Neuroradiology in October 2017 in Budapest, Hungary. This multi-society meeting was dedicated to establish standards of practice in acute ischemic stroke intervention aiming for a consensus on the minimum requirements for centers providing such treatment. In an ideal situation, all patients would be treated at a center offering a full spectrum of neuroendovascular care (a level 1 center). However, for geographical reasons, some patients are unable to reach such a center in a reasonable period of time. With this in mind, the group paid special attention to define recommendations on the prerequisites of organizing stroke centers providing medical thrombectomy for acute ischemic stroke, but not for other neurovascular diseases (level 2 centers). Finally, some centers will have a stroke unit and offer intravenous thrombolysis, but not any endovascular stroke therapy (level 3 centers). Together, these level 1, 2, and 3 centers form a complete stroke system of care. The multi-society group provides recommendations and a framework for the development of medical thrombectomy services worldwide.
AB - After five positive randomized controlled trials showed benefit of mechanical thrombectomy in the management of acute ischemic stroke with emergent large-vessel occlusion, a multi-society meeting was organized during the 17th Congress of the World Federation of Interventional and Therapeutic Neuroradiology in October 2017 in Budapest, Hungary. This multi-society meeting was dedicated to establish standards of practice in acute ischemic stroke intervention aiming for a consensus on the minimum requirements for centers providing such treatment. In an ideal situation, all patients would be treated at a center offering a full spectrum of neuroendovascular care (a level 1 center). However, for geographical reasons, some patients are unable to reach such a center in a reasonable period of time. With this in mind, the group paid special attention to define recommendations on the prerequisites of organizing stroke centers providing medical thrombectomy for acute ischemic stroke, but not for other neurovascular diseases (level 2 centers). Finally, some centers will have a stroke unit and offer intravenous thrombolysis, but not any endovascular stroke therapy (level 3 centers). Together, these level 1, 2, and 3 centers form a complete stroke system of care. The multi-society group provides recommendations and a framework for the development of medical thrombectomy services worldwide.
KW - Brain Ischemia/complications
KW - Endovascular Procedures/methods
KW - Humans
KW - Stroke/etiology
KW - Thrombectomy/methods
U2 - 10.1017/cjn.2019.1
DO - 10.1017/cjn.2019.1
M3 - Other (editorial matter etc.)
C2 - 30890199
VL - 46
SP - 269
EP - 274
JO - CAN J NEUROL SCI
JF - CAN J NEUROL SCI
SN - 0317-1671
IS - 3
ER -