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Updated: May 15, 2025
Optimized Management of Endovascular Treatment for Acute Ischemic Stroke
Published on: January 18, 2018
Acute ischemic stroke: A guideline-based overview of evaluation and management
Kevin M Bogenschutz1, Daniel S Fisher, Geoff W Wright
1Kevin M. Bogenschutz is an assistant professor in the PA master's program at Butler University in Indianapolis, Ind.; he continues to practice in primary care and pulmonary medicine and serves as the clinical director of the Near West Free Clinic in Indianapolis, Ind. Daniel S. Fisher practices emergency medicine at Northwestern Memorial Hospital in Chicago, Ill. Geoff W. Wright practices internal medicine at TriStar NorthCrest Medical Center in Springfield, Tenn.; is an adjunct professor in the School of Physician Assistant Studies at Lipscomb University in Nashville, Tenn.; and is an ad hoc lecturer for ThriveAP Hospitalist Curriculum in Nashville, Tenn. The authors have disclosed no potential conflicts of interest, financial or otherwise.
Abstract:
Stroke is the fifth most common cause of death in the United States, and projections suggest that its incidence will increase in the coming decade. Of all stroke cases, 85% are caused by vascular occlusion, resulting in infarction to the brain, in a condition more specifically known as acute ischemic stroke (AIS). The American Heart Association (AHA)/American Stroke Association (ASA) guideline addresses early management of AIS for providers' use in ensuring rapid evaluation and imaging for patients suspected to be affected. The guideline also aids providers in determining and delivering the most appropriate interventions upon AIS diagnosis. This article reviews the AHA/ASA AIS guideline and highlights key components of care, such as patient evaluation, criteria for fibrinolysis and mechanical thrombectomy, postacute care, and hospital discharge with secondary prevention measures.
