Expanding the treatment window for ischemic stroke through the application of novel system-based technology

被引：16
|
作者：
El-Ghanem, Mohammad [1 ]
Al-Mufti, Fawaz [1 ]
Thulasi, Venkatraman [2 ]
Singh, Inder Paul [1 ]
Gandhi, Chirag [1 ]
机构：
[1] Dept Neurosurg, Newark, NJ USA
[2] Rutgers State Univ, New Jersey Med Sch, Newark, NJ USA
来源：
NEUROSURGICAL FOCUS | 2017年 / 42卷 / 04期
关键词：
acute stroke; telestroke; prehospital stroke scale; endovascular treatment; emergent large vessel occlusion; mechanical thrombectomy; mobile stroke unit; EMS; TISSUE-PLASMINOGEN ACTIVATOR; LARGE VESSEL OCCLUSION; ENDOVASCULAR THERAPY; UNITED-STATES; CARE; THROMBOLYSIS; THROMBECTOMY; MANAGEMENT; NEUROLOGY; TRIAL;
D O I：
10.3171/2017.1.FOCUS16515
中图分类号：
R74 [神经病学与精神病学];
学科分类号：
摘要：
Recent randomized controlled trials have demonstrated the superiority of endovascular treatment (ET) over medical management in the treatment of acute ischemic stroke patients with anterior circulation emergent large vessel occlusions (ELVOs). Due to such accumulating evidence, expanding ET has become of paramount importance. Advancements in modern technology have enabled the use of mobile stroke units, telestroke networks, mobile neuroendovascular teams, and smartphone applications that shorten the time window to treatment and, thus, make patients more amenable to ET. Additionally, modifying stroke-screening tools to make them more accessible to first responders and the creation of stroke registries can provide further opportunities for ET.
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收藏
页数：7
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