When Should Neuroendovascular Care for Patients With Acute Stroke Be Palliative?

AMA J Ethics. 2021 Oct 1;23(10):E783-793. doi: 10.1001/amajethics.2021.783.

Abstract

Noncurative surgeries intended to relieve suffering during serious illness or near end of life have been analyzed across palliative settings. Yet sparse guidance is available to inform clinical management decisions about whether, when, and which interventions should be offered when ischemic stroke and other neurological complications occur in patients whose survival is extended by other novel disease-modifying interventions. This case commentary examines key ethical and clinical considerations in palliative neuroendovascular care of patients with acute stroke.

MeSH terms

  • Humans
  • Palliative Care*
  • Stroke* / therapy