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Related Concept Videos

Venous Thrombosis III: Interprofessional Care01:29

Venous Thrombosis III: Interprofessional Care

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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...
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Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
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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...
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Related Experiment Video

Updated: Aug 10, 2025

Optimized Management of Endovascular Treatment for Acute Ischemic Stroke
09:21

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Published on: January 18, 2018

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Current advances in endovascular treatment.

Jeremy Molad1, Asaf Honig2

  • 1Department of Stroke & Neurology, Tel-Aviv Sourasky Medical Center, Tel-Aviv.

Current Opinion in Neurology
|February 10, 2023
PubMed
Summary

Endovascular thrombectomy (EVT) is a key treatment for acute ischemic stroke. Recent studies expand EVT indications to new patient groups and refine periprocedural care for better outcomes.

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Area of Science:

  • Neurology
  • Interventional Cardiology
  • Vascular Surgery

Background:

  • Endovascular thrombectomy (EVT) is the leading reperfusion therapy for acute ischemic stroke.
  • Ongoing research investigates EVT in patient subsets beyond initial pivotal trials.
  • This review focuses on evolving patient selection criteria and periprocedural management strategies for EVT.

Approach:

  • Summarizing recent clinical trial findings and expert consensus.
  • Analyzing data on EVT efficacy in specific patient populations (e.g., large ischemic core, elderly, basilar artery occlusion).
  • Evaluating current best practices for anesthesia and hemodynamic management during and after EVT.

Key Points:

  • EVT shows benefit in patients with large ischemic cores, nonagenarians, and basilar artery occlusions.
  • Bridging therapy with intravenous thrombolysis may improve reperfusion rates.
  • General anesthesia and stable blood pressure post-procedure are supported by current evidence.
  • Trials are exploring EVT for distal occlusions and low NIHSS large vessel occlusions.

Conclusions:

  • The scope of EVT indications is rapidly expanding based on new evidence.
  • Refined patient selection and periprocedural management are crucial for optimizing EVT outcomes.
  • Further trials will continue to define the role of EVT in acute ischemic stroke care.