2019 Thai Guidelines of Endovascular Treatment in Patients with Acute Ischemic Stroke
Keywords:
acute ischemic stroke, guideline, endovascular treatment, mechanical thrombectomyAbstract
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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