Endovascular Therapy in Acute Ischemic Stroke: Challenges and Transition From Trials to Bedside

Mayank Goyal1, Amy Y X Yu2, Bijoy K Menon2

  • 1From the Departments of Clinical Neurosciences and Radiology, University of Calgary, Calgary, AB, Canada (M.G., A.Y.X.Y., B.K.M., A.M.D., M.D.H.); Department of Neurology, Erasmus MC University Medical Center Rotterdam, The Netherlands (D.W.J.D.); Department of Neurology, University Hospital Heidelberg, Ruprecht-Karls University, Heidelberg, Germany (W.H.); Department of Medicine and Neurology, Melbourne Brain Centre at the Royal Melbourne Hospital, University of Melbourne, Melbourne, Victoria, Australia (S.M.D.); Department of Neurology, Beth Israel Deaconess Medical Center, Boston, MA (M.F.); Department of Neurology and Neurosurgery, University of Miami Miller School of Medicine, Miami, Florida (D.R.Y.); Department of Radiology, DHU IRIS Unit of Interventional Neuroradiology. Hôpital neurologique, Lyon, France (F.T.); Department of Radiology, Neuroradiology Division, Mayo Clinic, Scottsdale, AZ (J.R.); Department of Neurosurgery, Hyogo College of Medicine, Mukogawa, Nishinomiya, Hyogo, Japan (S.Y.); Departments of Interventional Neuroradiology, Beijing Tiantan Hospital, Capital Medical University, China National Clinical Research Center for Neurological Diseases, Center of Stroke, Beijing Institute for Brain Disorders, Beijing, China (Z.M.); Department of Neurology, All India Institute of Medical Sciences, New Delhi, India (R.B.); Department of Neurology, King Abdulaziz University, Jeddah, Saudi Arabia (M.A.); Department of Neurosurgery, Kashiwa Hospital, Jikei University School of Medicine, Japan (Y.M.); Department of Neurology, Dongsan Medical Center, Keimyung University, Daegu, South Korea (S.-I.S.); and Comprehensive Stroke Center and Department of Neurology, David Geffen School of Medicine at the University of California, Los Angeles (J.L.S.). mgoyal@ucalgary.ca.

Stroke
|January 9, 2016
PubMed
Abstract

No abstract available in PubMed .

Related Concept Videos

Venous Thrombosis III: Interprofessional Care01:29

Venous Thrombosis III: Interprofessional Care

Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
463
Peripheral Artery Disease III: Interprofessional Care01:27

Peripheral Artery Disease III: Interprofessional Care

Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
547
Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care01:29

Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care

Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...
651
Acute Coronary Syndrome IV: Interprofessional Care01:28

Acute Coronary Syndrome IV: Interprofessional Care

IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
443