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Updated: Apr 26, 2026

Optimized Management of Endovascular Treatment for Acute Ischemic Stroke
Published on: January 18, 2018
The golden hour Performing an acute ischemic stroke workup
1Jane A. Anderson is an associate director at MEDVAMC Stroke Center, Michael E. DeBakey VA Medical Center and assistant professor at the Department of Neurology, Baylor College of Medicine, Houston, Tex.
Acute ischemic stroke requires emergency care due to artery blockage. This article summarizes recent updates for nurse practitioners on rapid evaluation and intravenous fibrinolysis treatment selection.
Area of Science:
- Neurology
- Emergency Medicine
- Vascular Medicine
Background:
- Ischemic stroke is a critical medical emergency.
- It stems from blocked intracranial arteries (embolic or thrombotic occlusion).
- Timely intervention is crucial for patient outcomes.
Purpose of the Study:
- To update acute care nurse practitioners on recent advancements.
- To detail rapid evaluation and workup protocols.
- To guide patient selection for intravenous fibrinolysis.
Main Methods:
- Literature review of recent studies on stroke management.
- Analysis of diagnostic criteria for acute ischemic stroke.
- Examination of guidelines for intravenous fibrinolysis administration.
Main Results:
- Highlights key changes in diagnostic and treatment protocols.
- Emphasizes the importance of rapid assessment.
- Identifies criteria for optimal patient selection for fibrinolysis.
Conclusions:
- Rapid evaluation and appropriate patient selection are vital for effective I.V. fibrinolysis.
- Staying updated on recent advancements improves acute stroke care.
- Nurse practitioners play a key role in managing stroke patients.
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