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Title: Current state of acute stroke care in Southeast Asian countries
Authors: Justin Christopher Ng
Anchalee Churojana
Sirintara Pongpech
Luu Dang Vu
Cindy Sadikin
Jeyaledchumy Mahadevan
Josephine Subramaniam
Victor Erwin Jocson
Wickly Lee
Makati Medical Center
Bach Mai Hospital
National University Hospital, Singapore
National Neuroscience Institute of Singapore
Faculty of Medicine, Ramathibodi Hospital, Mahidol University
Faculty of Medicine, Siriraj Hospital, Mahidol University
Pantai Hospital
Siloam Hospital
Keywords: Medicine
Issue Date: 1-Jun-2019
Citation: Interventional Neuroradiology. Vol.25, No.3 (2019), 291-296
Abstract: © The Author(s) 2018. Acute stroke care systems in Southeast Asian countries are at various stages of development, with disparate treatment availability and practice in terms of intravenous thrombolysis and endovascular therapy. With the advent of successful endovascular therapy stroke trials over the past decade, the pressure to revise and advance acute stroke management has greatly intensified. Southeast Asian patients exhibit unique stroke features, such as increased susceptibility to intracranial atherosclerosis and higher prevalence of intracranial haemorrhage, likely secondary to modified vascular risk factors from differing dietary and lifestyle habits. Accordingly, the practice of acute endovascular stroke interventions needs to take into account these considerations. Acute stroke care systems in Southeast Asia also face a unique challenge of huge stroke burden against a background of ageing population, differing political landscape and healthcare systems in these countries. Building on existing published data, further complemented by multi-national interaction and collaboration over the past few years, the current state of acute stroke care systems with existing endovascular therapy services in Southeast Asian countries are consolidated and analysed in this review. The challenges facing acute stroke care strategies in this region are discussed.
ISSN: 15910199
Appears in Collections:Scopus 2019

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