Vnitr Lek 2014, 60(12):1086-1089

Modern treatment of acute ischemic stroke

Petr Widimský1,*, Boris Kožnar2, Ivana Štětkářová3
1 Kardiolog Kardiocentra 3. LF UK a FN Královské Vinohrady Praha, vedoucí lékař prof. MUDr. Petr Widimský, DrSc., FESC, FACC
2 Radiolog Kardiocentra 3. LF UK a FN Královské Vinohrady Praha, vedoucí lékař prof. MUDr. Petr Widimský, DrSc., FESC, FACC
3 Neurologická klinika 3. LF UK a FN Královské Vinohrady Praha, přednostka doc. MUDr. Ivana Štětkářová, CSc.

Acute ischemic stroke is a frequent cause of death and disability. Therepautic scepticism persists both among doctors and lay people. However, modern reperfusion therapy improved outcomes of acute stroke patients - at least of those presenting early after symptom onset. This review presents multidisciplinary approach to acute stroke - cooperation of neurologists, cardiologists and radiologists. Both reperfusion strategies are discussed: catheter-based thrombectomy and thrombolysis.

Keywords: acute stroke; catheter based thrombectomy; multidisciplinary; reperfusion therapy; thrombolysis

Received: October 29, 2014; Accepted: November 3, 2014; Published: December 1, 2014  Show citation

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Widimský P, Kožnar B, Štětkářová I. Modern treatment of acute ischemic stroke. Vnitr Lek. 2014;60(12):1086-1089.
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    References

    1. Vaško P, Kožnar B, Štětkářová I et al. Acute stroke in a young healthy woman with hormonal contraception: Direct percutaneous thrombectomy with stent-retriever followed by full neurologic recovery. Cor Vasa 2013; 55(2): e107-e110. Dostupné z DOI: <http://dx.doi.org/10.1016/j.crvasa.2013.02.001>. Go to original source...
    2. Widimsky P, Koznar B, Peisker T et al. Direct catheter-based thrombectomy in acute ischaemic stroke performed collaboratively by cardiologists, neurologists and radiologists: the single-centre pilot experience (PRAGUE-16 study) EuroIntervention 2014; 10(7): 869-875. Dostupné z DOI: <http://dx.doi.org/10.4244/EIJY14M05_12>. Go to original source... Go to PubMed...
    3. Wardlaw JM, Murray V, Berge E et al. Thrombolysis for acute ischaemic stroke. Cochrane Database Syst Rev 2009; 4: CD000213. Dostupné z DOI: <http://dx.doi.org/10.1002/14651858.CD000213.pub2>. Update in: Cochrane Database Syst Rev. 2014; 7: CD000213. Go to original source... Go to PubMed...
    4. Jovin TG, Yonas H, Gebel JM et al. The Cortical Ischemic Core and Not the Consistently Present Penumbra Is a Determinant of Clinical Outcome in Acute Middle Cerebral Artery Occlusion. Stroke 2003; 34(10): 2426-2433. Go to original source... Go to PubMed...
    5. Zhu G, Michel P, Aghaebrahim A et al. Prediction of Recanalization Trumps Prediction of Tissue Fate The Penumbra: A Dual-edged Sword. Stroke 2013; 44(4): 1014-1019. Go to original source... Go to PubMed...
    6. Bhatia R, Hill MD, Shobha N et al. Low rates of acute recanalization with intravenous recombinant tissue plasminogen activator in ischemic stroke: real-world experience and a call for action. Stroke 2010; 41(10): 2254-2258. Go to original source... Go to PubMed...
    7. Heldner MR, Zubler C, Mattle HP et al. National Institutes of Health Stroke Scale Score and Vessel Occlusion in 2152 Patients with Acute Ischemic Stroke. Stroke. 2013; 44(4): 1153-1157. Go to original source... Go to PubMed...
    8. Broderick JP, Palesch YY, Demchuk AM et al. Interventional Management of Stroke (IMS) III Investigators. Endovascular therapy after intravenous t-PA versus t-PA alone for stroke. N Engl J Med 2013; 368(10): 893-903. Go to original source... Go to PubMed...
    9. Kidwell CS, Jahan R, Gornbein J et al. MR RESCUE Investigators. A trial of imaging selection and endovascular treatment for ischemic stroke. N Engl J Med 2013; 368(10): 914-923. Go to original source... Go to PubMed...
    10. Ciccone A, Valvassori L, Nichelatti M et al. SYNTHESIS Expansion Investigators. Endovascular treatment for acute ischemic stroke. N Engl J Med 2013; 368(10): 904-913. Go to original source... Go to PubMed...
    11. Rha JH, Saver JL. The impact of recanalization on ischemic stroke outcome: a meta-analysis. Stroke 2007; 38(3): 967-973. Go to original source... Go to PubMed...
    12. Almekhlafi MA, Menon BK, Freiheit EA et al. A Meta-Analysis of Observational Intra-Arterial Stroke Therapy Studies Using the Merci Device, Penumbra System, and Retrievable Stents. AJNR Am J Neuroradiol 2013; 34(1):140-145. Dostupné z DOI : <http://dx.doi.org/10.3174/ajnr.A3276>. Go to original source... Go to PubMed...

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