Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2012 Sep 25;79(13 Suppl 1):S243-55.
doi: 10.1212/WNL.0b013e31826959fc.

Developing practice recommendations for endovascular revascularization for acute ischemic stroke

Marc A Lazzaro  1 , Roberta L Novakovic, Andrei V Alexandrov, Ziad Darkhabani, Randall C Edgell, Joey English, Donald Frei, Dara G Jamieson, Vallabh Janardhan, Nazli Janjua, Rashid M Janjua, Irene Katzan, Pooja Khatri, Jawad F Kirmani, David S Liebeskind, Italo Linfante, Thanh N Nguyen, Jeffrey L Saver, Lori Shutter, Andrew Xavier, Dileep Yavagal, Osama O Zaidat
Affiliations
Review

Developing practice recommendations for endovascular revascularization for acute ischemic stroke

Marc A Lazzaro et al. Neurology. .

Abstract

Guidelines have been established for the management of acute ischemic stroke; however, specific recommendations for endovascular revascularization therapy are lacking. Burgeoning investigation of endovascular revascularization therapies for acute ischemic stroke, rapid device development, and a diverse training background of the providers performing the procedures underscore the need for practice recommendations. This review provides a concise summary of the Society of Vascular and Interventional Neurology endovascular acute ischemic stroke roundtable meeting. This document was developed to review current clinical efficacy of pharmacologic and mechanical revascularization therapy, selection criteria, periprocedure management, and endovascular time metrics and to highlight current practice patterns. It therefore provides an outline for the future development of multisociety guidelines and recommendations to improve patient selection, procedural management, and organizational strategies for revascularization therapies in acute ischemic stroke.

PubMed Disclaimer

Figures

Figure
Figure. Possible decision algorithm for revascularization therapies in acute ischemic stroke
See this image and copyright information in PMC

References

    1. Adams HP, Jr, del Zoppo G, Alberts MJ, et al. Guidelines for the early management of adults with ischemic stroke: a guideline from the American Heart Association/American Stroke Association Stroke Council, Clinical Cardiology Council, Cardiovascular Radiology and Intervention Council, and the Atherosclerotic Peripheral Vascular Disease and Quality of Care Outcomes in Research Interdisciplinary Working Groups. Stroke 2007;38:1655–1711 - PubMed
    1. The National Institute of Neurological Disorders and Stroke rt-PA Stroke Study Group.Tissue plasminogen activator for acute ischemic stroke. N Engl J Med 1995;333:1581–1587 - PubMed
    1. Zaidat OO, Suarez JI, Sunshine JL, et al. Thrombolytic therapy of acute ischemic stroke: correlation of angiographic recanalization with clinical outcome. AJNR Am J Neuroradiol 2005;26:880–884 - PMC - PubMed
    1. Rha JH, Saver JL. The impact of recanalization on ischemic stroke outcome: a meta-analysis. Stroke 2007;38:967–973 - PubMed
    1. del Zoppo GJ, Higashida RT, Furlan AJ, Pessin MS, Rowley HA, Gent M. PROACT: a phase II randomized trial of recombinant pro-urokinase by direct arterial delivery in acute middle cerebral artery stroke: PROACT Investigators: Prolyse in Acute Cerebral Thromboembolism. Stroke 1998;29:4–11 - PubMed

MeSH terms