Decision-making strategies for reperfusion therapies: navigating through stroke trials gaps

Autor: Mateus Paquesse Pellegrino, Felipe Borelli Del Guerra, Iago Navas Perissinotti
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Arquivos de Neuro-Psiquiatria, Vol 80, Iss 5 suppl 1, Pp 60-71 (2022)
Druh dokumentu: article
ISSN: 1678-4227
0004-282x
DOI: 10.1590/0004-282x-anp-2022-s123
Popis: ABSTRACT Despite there being a robust amount of literature and numerous randomized clinical trials regarding acute ischemic stroke treatment, the trials have not included some frequent controversial situations for which decision-making strategies are an urgent and unmet need in clinical practice. This article tries to summarize the current evidence about some selected situations (mechanical thrombectomy in low ASPECTS, low NIHSS with proximal occlusion, acute basilar occlusion, distal and medium vessel occlusion, among others), make suggestions on how to approach them in clinical practice and show what to expect in acute stroke research in the near future.
Databáze: Directory of Open Access Journals