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Updated: Oct 16, 2025
09:21
Optimized Management of Endovascular Treatment for Acute Ischemic Stroke
Published on: January 18, 2018
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Overview of Acute Ischemic Stroke Evaluation and Management
Tasneem F Hasan1, Hunaid Hasan2, Roger E Kelley1
1Department of Neurology, Ochsner Louisiana State University Health Sciences Center, Shreveport, LA 71103, USA.
Biomedicines
|October 23, 2021
Summary
Time is critical for acute ischemic stroke treatment. Modern therapies like IV TPA and endovascular thrombectomy improve survival, but comprehensive rehabilitation is essential for optimal recovery and reduced disability.
Area of Science:
- Neurology
- Emergency Medicine
- Rehabilitation Medicine
Background:
- Stroke is a leading cause of death and disability globally.
- Historically, acute stroke management had high mortality and disability rates.
- The principle of "time is brain" is fundamental in acute stroke care.
Purpose of the Study:
- To provide an overview of the evaluation and current advances in acute ischemic stroke management.
- To discuss stroke care from prehospital through post-acute rehabilitation.
- To highlight the importance of multidisciplinary approaches in stroke recovery.
Main Methods:
- Review of current therapeutic strategies for acute ischemic stroke.
- Discussion of reperfusion therapies including intravenous recombinant tissue plasminogen activator (IV TPA) and endovascular thrombectomy.
- Emphasis on the role of comprehensive stroke rehabilitation programs.
Main Results:
- Landmark trials have demonstrated the benefit of endovascular thrombectomy in select acute stroke patients.
- Modern stroke care leads to increased survival rates but with varying degrees of disability.
- A multidisciplinary approach is crucial for successful stroke rehabilitation.
Conclusions:
- Advances in acute ischemic stroke management have shifted paradigms in patient care.
- Optimizing post-stroke outcomes requires understanding natural recovery and implementing comprehensive rehabilitation.
- Early and effective intervention, followed by tailored rehabilitation, improves chances of successful recovery.
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