2019 Thai Guidelines of Endovascular Treatment in Patients with Acute Ischemic Stroke

Authors

  • พรภัทร ธรรมสโรช Faculty of Medicine, Thammasat University
  • ดิษยา รัตนากร Faculty of Medicine Ramathibodi Hospital, Mahidol University
  • สามารถ นิธินันทน์ Phramongkutklao Hospital and College of Medicine
  • ศิรินธรา สิงหรา ณ อยุธยา Faculty of Medicine Ramathibodi Hospital, Mahidol University
  • สุรีรัตน์ สุวัชรังกูร Faculty of Medicine Ramathibodi Hospital, Mahidol University
  • เจษฎา เขียนดวงจันทร์ Faculty of Medicine Ramathibodi Hospital, Mahidol University
  • อรอุมา ชุติเนตร Faculty of Medicine, Chulalongkorn University, King Chulalongkorn Memorial Hospital, Thai Red Cross Society
  • เจษฎา อุดมมงคล Phramongkutklao Hospital and College of Medicine
  • ยงชัย นิละนนท์ Faculty of Medicine, Siriraj Hospital, Mahidol University
  • สุชาติ หาญไชยพิบูลย์กุล Prasat Neurological Institute
  • จาตุรนต์ ตันติวัตนะ Faculty of Medicine, Chulalongkorn University, King Chulalongkorn Memorial Hospital, Thai Red Cross Society
  • กิตติพงศ์ เรียบร้อย Faculty of Medicine, Prince of Songkla University
  • ชัย กอบกิจสุขสกุล Faculty of Medicine Ramathibodi Hospital, Mahidol University
  • สุรศักดิ์ โกมลจันทร์ Prasat Neurological Institute
  • ธนบูรณ์ วรกิจธำรงค์ชัย Prasat Neurological Institute
  • เอกฉัตร ฉันธนาภัค Faculty of Medicine Ramathibodi Hospital, Mahidol University
  • ดิลก ตันทองทิพย์ Faculty of Medicine, Thammasat University

Keywords:

acute ischemic stroke, guideline, endovascular treatment, mechanical thrombectomy

Abstract

Endovascular treatment has shown benefit in patients with acute ischemic stroke in reducing morbidity and mortality, especially in those with acute major artery occlusion. In 2018, The American Heart Association/ American Stroke Association issues the up-to-date recommendation of the early management of patients with acute ischemic stroke regarding endovascular treatment. The Thai Stroke Society in cooperation with The Royal College of Radiologists of Thailand, The Royal College of Neurological Surgeons of Thailand, The Association of Thai Interventional Neuroradiology and Thai Association of Neurovascular Surgeons issue this updated version of Thai guidelines of endovascular treatment in patients with acute ischemic stroke. Endovascular treatment is one of the treatment options that should be performed in only hospitals with experienced, certified and potential stroke centers. Eligible criteria are (1) adult patients (≥18 years old) (2) prestroke MRS score 0-1, (3) receiving intravenous rtPA within 4.5 hours of stroke onset, (4) causative occlusion of internal carotid artery or MCA segment 1 (M1), (5) NIHSS ≥ 6, (6) ASPECTS score from CT brain ≥ 6, (7) treatment can be initiated (groin puncture) within 6 hours of symptom onset. Outcomes on all patients should be tracked.

References

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Published

2019-08-18

How to Cite

1.
ธรรมสโรช พ, รัตนากร ด, นิธินันทน์ ส, สิงหรา ณ อยุธยา ศ, สุวัชรังกูร ส, เขียนดวงจันทร์ เ, ชุติเนตร อ, อุดมมงคล เ, นิละนนท์ ย, หาญไชยพิบูลย์กุล ส, ตันติวัตนะ จ, เรียบร้อย ก, กอบกิจสุขสกุล ช, โกมลจันทร์ ส, วรกิจธำรงค์ชัย ธ, ฉันธนาภัค เ, ตันทองทิพย์ ด. 2019 Thai Guidelines of Endovascular Treatment in Patients with Acute Ischemic Stroke. J Thai Stroke Soc [Internet]. 2019 Aug. 18 [cited 2024 Jun. 22];18(2):52-75. Available from: https://he01.tci-thaijo.org/index.php/jtss/article/view/209691

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Section

Clinical Practice Guidelines