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Updated: Mar 8, 2026

Optimized Management of Endovascular Treatment for Acute Ischemic Stroke
Published on: January 18, 2018
Brazilian guidelines for endovascular treatment of patients with acute ischemic stroke
Octávio Marques Pontes-Neto1, Pedro Cougo1, Sheila Cristina Ouriques Martins2
1Universidade de São Paulo, Faculdade de Medicina de Ribeirão Preto, Ribeirão Preto SP, Brasil.
Insights
New guidelines offer consensus on endovascular therapy for acute ischemic stroke patients with proximal arterial occlusions. These recommendations aim to improve patient management by healthcare providers and public health authorities in Brazil.
Area of Science:
- Neurology
- Neurosurgery
- Public Health
Background:
- Acute ischemic stroke poses a significant health challenge.
- Recent clinical trials have introduced new therapeutic options.
- Endovascular therapy is emerging as a key treatment for specific stroke types.
Purpose of the Study:
- To provide evidence-based guidelines for endovascular therapy in acute ischemic stroke.
- To consolidate recommendations from major Brazilian neurological and neuroradiological societies.
- To guide healthcare professionals and policymakers in managing stroke patients.
Main Methods:
- Consensus development involving multiple expert writing groups.
- Web-based discussions and videoconference meetings to address controversies.
- Review of recent clinical trial data on endovascular therapy.
Main Results:
- Establishment of consensus statements on the use of endovascular therapy.
- Focus on implications of recent trials for proximal arterial occlusions.
- Development of practical guidance for patient management.
Conclusions:
- Endovascular therapy is a critical consideration for acute ischemic stroke with proximal occlusions.
- These guidelines provide a framework for optimal patient care in Brazil.
- Collaboration among professional societies ensures comprehensive and up-to-date recommendations.
Abstract:
These guidelines are the result of a joint effort from writing groups of the Brazilian Stroke Society, the Scientific Department of Cerebrovascular Diseases of the Brazilian Academy of Neurology, the Brazilian Stroke Network and the Brazilian Society of Diagnostic and Therapeutic Neuroradiology. Members from these groups participated in web-based discussion forums with predefined themes, followed by videoconference meetings in which controversies and position statements were discussed, leading to a consensus. This guidelines focuses on the implications of the recent clinical trials on endovascular therapy for acute ischemic stroke due to proximal arterial occlusions, and the final text aims to guide health care providers, health care managers and public health authorities in managing patients with this condition in Brazil.
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