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Title: Standards of Practice in Acute Ischemic Stroke Intervention International Recommendations
Authors: Laurent Pierot
Mahesh Jarayaman
Istvan Szikora
Joshua Hirsch
Blaise Baxter
Shigeru Miyachi
Jeyaledchumy Mahadevan
Winston Chong
Peter J. Mitchell
Alan Coulthard
Howard A. Rowley
Pina C. Sanelli
Donatella Tampieri
Patrick Brouwer
Jens Fiehler
Naci Kocer
Pedro Vilela
Alex Rovira
Urs Fischer
Valeria Caso
Bart Van Der Wort
Nobuyuki Sakai
Yuji Matsumaru
Shin Ichi Yoshimura
Luisa Biscoito
Manuel Pumar
Orlando DIaz
Justin Fraser
Italo Lifante
David S. Liebeskind
Raul G. Nogueira
Werner Hacke
Michael Brainin
Bernard Yan
Michael Soderman
Allan Taylor
Sirintara Pongpech
Karel Terbrugge
Kobe City Medical Center General Hospital
University Medical Center Utrecht
University of Wisconsin-Madison
University of Queensland
Istanbul Üniversitesi
University of California, Los Angeles
University of Melbourne
Hospital Garcia de Orta
Santa Maria Hospital, Lisbon
University of Bern
Monash University
Université de Reims Champagne-Ardenne
Karolinska University Hospital
Gifu University
Universität Heidelberg
University of Toronto
Queen's University, Kingston
University of Kentucky
Faculty of Medicine, Ramathibodi Hospital, Mahidol University
Florida International University
Methodist Hospital Houston
University of Tsukuba
Hospital Universitari Vall d'Hebron
The Warren Alpert Medical School
Universitätsklinikum Hamburg-Eppendorf und Medizinische Fakultät
Aichi Medical University
Donau-Universitat Krems
Groote Schuur Hospital
Università degli Studi di Perugia
Complejo Hospitalario Universitario de Santiago
Harvard Medical School
Emory University School of Medicine
Northwell Health
Tennessee Interventional Associates
Pantai Hospital
National Institute of Clinical Neurosciences
Keywords: Medicine
Issue Date: 1-May-2019
Citation: Canadian Journal of Neurological Sciences. Vol.46, No.3 (2019), 269-274
Abstract: © 2019 The Canadian Journal of Neurological Sciences Inc. After five positive randomized controlled trials showed benefit of mechanical thrombectomy in the management of acute ischemic stroke with emergent large-vessel occlusion, a multi-society meeting was organized during the 17th Congress of the World Federation of Interventional and Therapeutic Neuroradiology in October 2017 in Budapest, Hungary. This multi-society meeting was dedicated to establish standards of practice in acute ischemic stroke intervention aiming for a consensus on the minimum requirements for centers providing such treatment. In an ideal situation, all patients would be treated at a center offering a full spectrum of neuroendovascular care (a level 1 center). However, for geographical reasons, some patients are unable to reach such a center in a reasonable period of time. With this in mind, the group paid special attention to define recommendations on the prerequisites of organizing stroke centers providing medical thrombectomy for acute ischemic stroke, but not for other neurovascular diseases (level 2 centers). Finally, some centers will have a stroke unit and offer intravenous thrombolysis, but not any endovascular stroke therapy (level 3 centers). Together, these level 1, 2, and 3 centers form a complete stroke system of care. The multi-society group provides recommendations and a framework for the development of medical thrombectomy services worldwide.
ISSN: 03171671
Appears in Collections:Scopus 2019

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