Guidelines on Endovascular Stroke Therapy from the American Heart Association/American Stroke Association

These guidelines offer practical clinical recommendations informed by a synthesis of data from recent randomized trials.

Sponsoring Organization: American Heart Association/American Stroke Association (AHA/ASA)

Target Audience: Neurologists, emergency physicians

Background and Objective

Several studies of endovascular stroke therapy with novel findings have been published since the last AHA/ASA guidelines on early management of ischemic stroke patients were issued in 2013. This focused update deals solely with endovascular therapies and incorporates the new evidence. Recommendations are new except where noted.

Key Points

Endovascular therapy is indicated if all the following criteria are met (Class I, Level A):
1. Adult with prestroke modified Rankin Scale score ≤1,
2. Acute ischemic stroke from occlusion of the internal carotid or M1 artery,
3. NIH Stroke Scale (NIHSS) scor…

Reviewing Author

Hooman Kamel, MD

Disclosures

Speaker’s bureauGenentech

Grant / Research supportNational Institutes of Health/National Institute of Neurological Disorders and Stroke; Michael Goldberg Stroke Research Fund

Editorial boardsPLOS One; Scientific Reports

Leadership positions in professional societiesNeurocritical Care Society (Research Committee Member)