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Updated: Nov 1, 2025
09:21
Optimized Management of Endovascular Treatment for Acute Ischemic Stroke
Published on: January 18, 2018
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Canadian Stroke Best Practice Recommendations: Secondary Prevention of Stroke Update 2020
David J Gladstone1, M Patrice Lindsay2, James Douketis3
1Division of Neurology, Department of Medicine, and Regional Stroke Centre, Hurvitz Brain Sciences Program, Sunnybrook Health Sciences Centre and Sunnybrook Research Institute, Toronto, Canada.
Summary
The 2020 Canadian Stroke Best Practice Recommendations offer updated guidance for preventing recurrent ischemic stroke by managing vascular risk factors. This includes new evidence on therapies for atrial fibrillation, lipid lowering, and diabetes.
Area of Science:
- Neurology
- Cardiology
- Public Health
Background:
- The Canadian Stroke Best Practice Recommendations (CSBPR) provide evidence-based guidelines for stroke care.
- Secondary stroke prevention is crucial for reducing recurrence and improving patient outcomes.
Purpose of the Study:
- To present the 2020 update of the CSBPR for secondary stroke prevention.
- To incorporate new evidence and expert opinions for managing modifiable vascular risk factors.
Main Methods:
- Systematic review of current evidence and expert consensus.
- Development of recommendations covering triage, diagnostics, lifestyle, and pharmacotherapy.
Main Results:
- Simplified triage and assessment for transient ischemic attack (TIA) and minor stroke.
- Updated recommendations for dual antiplatelet therapy, anticoagulation for atrial fibrillation, lipid management, diabetes treatment, and patent foramen ovale.
- New guidance on temporary interruption of antithrombotic therapy, cancer-associated stroke, and virtual care delivery.
Conclusions:
- The 2020 CSBPR provide comprehensive, updated guidance for clinicians to prevent ischemic stroke recurrence.
- The recommendations emphasize managing modifiable risk factors and adapting to new care delivery models like virtual health.
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