Acute Ischemic Stroke: Acute Management and Selection for Endovascular Therapy

Semin Intervent Radiol. 2020 Jun;37(2):109-118. doi: 10.1055/s-0040-1709152. Epub 2020 May 14.

Abstract

Stroke is a medical emergency and expeditious treatment is critical to reducing permanent disability or death. Acute management of patients suffering from acute ischemic stroke (AIS) requires early recognition of symptoms, rapid assessment and stabilization (hyperacute workup), and appropriate selection of patients for reperfusion with intravenous alteplase and/or mechanical thrombectomy. Established stroke protocols which involve both prehospital emergency medical services and in-hospital multidisciplinary stroke teams have been shown to be crucial to reducing the long term, devastating effects of stroke.

Keywords: acute management; interventional radiology; intravenous alteplase; mechanical thrombectomy; stroke.

Publication types

  • Review