The Advanced Reperfusion Era: Implications for Emergency Systems of Ischemic Stroke Care

Ann Emerg Med. 2017 Feb;69(2):192-201. doi: 10.1016/j.annemergmed.2016.06.042. Epub 2016 Sep 3.

Abstract

Large vessel ischemic stroke is a leading cause of morbidity and mortality throughout the world. Recent advances in endovascular stroke treatment are changing the treatment paradigm for these patients. This concepts article summarizes the time-dependent nature of stroke care and evaluates the recent advancements in endovascular treatment. These advancements have significant implications for out-of-hospital, hospital, and regional systems of stroke care. Emergency medicine clinicians have a central role in implementing these systems that will ensure timely treatment of patients and selection of those who may benefit from endovascular care.

Publication types

  • Review

MeSH terms

  • Blood Vessel Prosthesis
  • Emergency Service, Hospital*
  • Endovascular Procedures
  • Fibrinolytic Agents / therapeutic use
  • Humans
  • Stents
  • Stroke / therapy*
  • Thrombolytic Therapy

Substances

  • Fibrinolytic Agents