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Optimized Management of Endovascular Treatment for Acute Ischemic Stroke
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Physicians are not well informed about the new guidelines for the treatment of acute stroke

Luana Antunes Maranha Gatto1,2, Gelson Luis Koppe2, Zeferino Demartini1,2

  • 1Pontifícia Universidade Católica do Paraná, Hospital Universitário Cajuru, Departamento de Neurocirurgia, Curitiba PR, Brasil.

Arquivos De Neuro-Psiquiatria
|November 23, 2017
PubMed

Insights

Physicians demonstrate significant gaps in knowledge regarding acute ischemic stroke treatment, including mechanical thrombectomy and rtPA protocols. This lack of awareness hinders adherence to updated clinical guidelines for cerebrovascular disease management.

Area of Science:

  • Neurology
  • Vascular Medicine
  • Medical Education

Background:

  • Cerebrovascular disease treatment has seen rapid advancements.
  • Recent data presents new challenges in acute ischemic stroke management.
  • Physician knowledge is crucial for effective stroke care.

Purpose of the Study:

  • To assess physician understanding of current acute ischemic stroke treatment protocols.
  • To identify knowledge deficits in stroke management among Brazilian physicians.

Main Methods:

  • An online questionnaire was distributed to physicians registered with the Regional Council of Medicine in Brazil.
  • 456 physicians across various specialties participated.
  • The questionnaire covered knowledge of acute stroke treatments and guidelines.

Main Results:

  • A majority of physicians were unaware that mechanical endovascular thrombectomy is the gold standard for acute ischemic stroke.
  • 85% of respondents did not know that combining thrombectomy with intravenous thrombolysis is an option.
  • Significant divergence in understanding treatment timelines, including for rtPA infusion.
  • Lack of infrastructure, medication, and neurologists were identified as key treatment barriers.

Conclusions:

  • Physicians exhibit insufficient knowledge of contemporary acute stroke treatment guidelines.
  • Most physicians answered the majority of questionnaire items incorrectly, indicating a need for updated medical education.
Abstract

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