Endovascular therapy for acute stroke

Maria Politi; Andreas Kastrup; Konstantinos Marmagkiolis; Iris Q Grunwald; Panagiotis Papanagiotou

doi:10.1016/j.pcad.2017.03.004

Endovascular therapy for acute stroke

Maria Politi, Andreas Kastrup, Konstantinos Marmagkiolis, Iris Q Grunwald, Panagiotis Papanagiotou (Lead / Corresponding author)

Research output: Contribution to journal › Review article › peer-review

9 Citations (Scopus)

Abstract

Stroke is the most common cause of permanent disability, the second most common cause of dementia, and the fourth most common cause of death in the Western world. Recently, based on positive multicenter randomized clinical trials, endovascular therapy for acute stroke has undergone a revolution. Routine mechanical thrombectomy in addition to intravenous thrombolysis has been shown to provide excellent outcomes for patients with proximal anterior circulation occlusions. This procedure reduces disability and benefits are seen across a wide range of age and initial stroke severity. Important features that affect treatment decisions include time of presentation, the patient's clinical status, imaging characteristics, and lab tests. Under optimal conditions, it should be available to patients 24/7, similar to systems offering prompt percutaneous coronary interventions to patients with acute ST-segment elevation myocardial infarctions.

Original language	English
Pages (from-to)	534-541
Number of pages	8
Journal	Progress in cardiovascular diseases
Volume	59
Issue number	6
Early online date	30 Mar 2017
DOIs	https://doi.org/10.1016/j.pcad.2017.03.004
Publication status	Published - 22 Jun 2017

Keywords

Cost-Benefit Analysis
Disability Evaluation
Endovascular Procedures/adverse effects
Health Care Costs
Humans
Recovery of Function
Stroke/diagnosis
Time Factors
Treatment Outcome

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title = "Endovascular therapy for acute stroke",

abstract = "Stroke is the most common cause of permanent disability, the second most common cause of dementia, and the fourth most common cause of death in the Western world. Recently, based on positive multicenter randomized clinical trials, endovascular therapy for acute stroke has undergone a revolution. Routine mechanical thrombectomy in addition to intravenous thrombolysis has been shown to provide excellent outcomes for patients with proximal anterior circulation occlusions. This procedure reduces disability and benefits are seen across a wide range of age and initial stroke severity. Important features that affect treatment decisions include time of presentation, the patient's clinical status, imaging characteristics, and lab tests. Under optimal conditions, it should be available to patients 24/7, similar to systems offering prompt percutaneous coronary interventions to patients with acute ST-segment elevation myocardial infarctions.",

keywords = "Cost-Benefit Analysis, Disability Evaluation, Endovascular Procedures/adverse effects, Health Care Costs, Humans, Recovery of Function, Stroke/diagnosis, Time Factors, Treatment Outcome",

author = "Maria Politi and Andreas Kastrup and Konstantinos Marmagkiolis and Grunwald, {Iris Q} and Panagiotis Papanagiotou",

year = "2017",

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doi = "10.1016/j.pcad.2017.03.004",

language = "English",

volume = "59",

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TY - JOUR

T1 - Endovascular therapy for acute stroke

AU - Politi, Maria

AU - Kastrup, Andreas

AU - Marmagkiolis, Konstantinos

AU - Grunwald, Iris Q

AU - Papanagiotou, Panagiotis

PY - 2017/6/22

Y1 - 2017/6/22

N2 - Stroke is the most common cause of permanent disability, the second most common cause of dementia, and the fourth most common cause of death in the Western world. Recently, based on positive multicenter randomized clinical trials, endovascular therapy for acute stroke has undergone a revolution. Routine mechanical thrombectomy in addition to intravenous thrombolysis has been shown to provide excellent outcomes for patients with proximal anterior circulation occlusions. This procedure reduces disability and benefits are seen across a wide range of age and initial stroke severity. Important features that affect treatment decisions include time of presentation, the patient's clinical status, imaging characteristics, and lab tests. Under optimal conditions, it should be available to patients 24/7, similar to systems offering prompt percutaneous coronary interventions to patients with acute ST-segment elevation myocardial infarctions.

AB - Stroke is the most common cause of permanent disability, the second most common cause of dementia, and the fourth most common cause of death in the Western world. Recently, based on positive multicenter randomized clinical trials, endovascular therapy for acute stroke has undergone a revolution. Routine mechanical thrombectomy in addition to intravenous thrombolysis has been shown to provide excellent outcomes for patients with proximal anterior circulation occlusions. This procedure reduces disability and benefits are seen across a wide range of age and initial stroke severity. Important features that affect treatment decisions include time of presentation, the patient's clinical status, imaging characteristics, and lab tests. Under optimal conditions, it should be available to patients 24/7, similar to systems offering prompt percutaneous coronary interventions to patients with acute ST-segment elevation myocardial infarctions.

KW - Cost-Benefit Analysis

KW - Disability Evaluation

KW - Endovascular Procedures/adverse effects

KW - Health Care Costs

KW - Humans

KW - Recovery of Function

KW - Stroke/diagnosis

KW - Time Factors

KW - Treatment Outcome

U2 - 10.1016/j.pcad.2017.03.004

DO - 10.1016/j.pcad.2017.03.004

M3 - Review article

C2 - 28365297

SN - 0033-0620

VL - 59

SP - 534

EP - 541

JO - Progress in cardiovascular diseases

JF - Progress in cardiovascular diseases

IS - 6

ER -

Endovascular therapy for acute stroke

Abstract

Keywords

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