We read with keen interest the comprehensive review by Rezaie et al. regarding the
paradigm shift in the management of acute ischemic stroke (AIS) (
1
). Their review provides a comprehensive overview of the currently accepted standards
for managing large vessel occlusion (LVO) through endovascular therapy (EVT) (
1
). A strength of their review is the acknowledgment of the heterogeneity of AIS disease
based on infarct core and size of ischemic but salvageable brain tissue, assessed
using advanced imaging. In addition, the recognition as to the role of advancing imaging
in EVT patient selection, subsequently aiding in the delivery of positive clinical
trials, is clearly highlighted.To read this article in full you will need to make a payment
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References
- A new paradigm shift in acute ischemic stroke, large vessel occlusions, and endovascular therapy.J Emerg Med. 2019; 56: 258-266
- 2018 Guidelines for the Early Management of Patients With Acute Ischemic Stroke: a guideline for healthcare professionals from the American Heart Association/American Stroke Association.Stroke. 2018; 49: e46-e110
- Latest developments in clinical stroke care.J R Coll Physicians Edinb. 2017; 47: 360-363
- Managing high blood pressure during acute ischemic stroke and intracerebral hemorrhage.Curr Opin Neurol. 2018; 31: 8-13
- Baseline blood pressure effect on the benefit and safety of intra-arterial treatment in MR CLEAN (Multicenter Randomized Clinical Trial of Endovascular Treatment of Acute Ischemic Stroke in the Netherlands).Stroke. 2017; 48: 1869-1876
- A decrease in blood pressure is associated with unfavorable outcome in patients undergoing thrombectomy under general anesthesia.J Neurointerv Surg. 2018; 10: 107-111
- Blood pressure levels post mechanical thrombectomy and outcomes in non-recanalized large vessel occlusion patients.J Neurointerv Surg. 2018; 10: 925-931
- Blood pressure management after mechanical thrombectomy for acute ischemic stroke: a survey of the StrokeNet sites.J Stroke Cerebrovasc Dis. 2018; 27: 2474-2478
- Intensive blood pressure reduction with intravenous thrombolysis therapy for acute ischaemic stroke (ENCHANTED): an international, randomised, open-label, blinded-endpoint, phase 3 trial.Lancet. 2019; 393: 877-888
- Improving the assessment of outcomes in stroke: use of a structured interview to assign grades on the modified Rankin Scale.Stroke. 2002; 33: 2243-2246
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- A New Paradigm Shift in Acute Ischemic Stroke, Large Vessel Occlusions, and Endovascular TherapyJournal of Emergency MedicineVol. 56Issue 3
- PreviewIn the past three years, there have been several major studies published on the use of endovascular therapy (EVT) in large vessel occlusion (LVO) acute ischemic stroke. With multiple publications in such a short amount of time, it is difficult to keep up with the evolving landscape of ischemic stroke therapy.
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