Updated Guidelines for the Early Management of Patients with Acute Ischemic Stroke

A new extended time window for mechanical thrombectomy and a focus on targeted cost-effective diagnostic testing are included in this long-anticipated update.

Sponsoring Organization: American Heart Association/American Stroke Association

Target Population: Adult patients with acute arterial ischemic stroke

Background and Objective: To provide comprehensive evidence-based recommendations for acute stroke management, using a new format and grading system to rate the strength and the quality of evidence for each recommendation.

Key Points

Important new recommendations are as follows:

Expanded Time Window for Mechanical Thrombectomy: The DAWN and DEFUSE 3 studies selected patients for mechanical thrombectomy within an extended time window based on a combination of clinical and imaging-based criteria. Based on these studies, mechanical thrombectomy is recommended for acute-stroke patients with anterior ci…

Reviewing Author

Anthony S. Kim, MD

Disclosures

Grant/Research SupportNIH/National Institute of Neurological Disorders and Stroke; NIH/National Center for Advancing Translational Sciences

Anthony S. Kim, MD

Disclosures

Grant/Research SupportNIH/National Institute of Neurological Disorders and Stroke; NIH/National Center for Advancing Translational Sciences

Updated Guidelines for the Early Management of Patients with Acute Ischemic Stroke

Topics

Key Points

Reviewing Author