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Interventional stroke therapy: current state of the art and needs assessment.
Authors:Christopher J White  Christopher U Cates  Michael J Cowley  Bonnie H Weiner  Jeffrey S Carpenter  L Nelson Hopkins  Michael R Jaff  Stephen R Ramee  Marilyn M Rymer  Mark H Wholey
Affiliation:1. Department of Cardiovascular Diseases, Ochsner Clinic Foundation, New Orleans, Louisiana;2. Division of Cardiology, Emory University, Atlanta, Georgia;3. Division of Cardiology, Medical College of Virginia, Virginia Commonwealth University, Richmond, Virginia;4. Saint Vincent Hospital/Fallon Clinic, Worcester, Massachusetts;5. Department of Radiology, West Virginia University, Morgantown, West Virginia;6. Toshiba Stroke Research Center, State University of New York, Buffalo, New York;7. Massachusetts General Hospital, Boston, Massachusetts;8. Mid American Brain and Stroke Institute, Saint Luke's Hospital, Kansas City, Missouri;9. Pittsburgh Vascular Institute, University of Pittsburgh, Pittsburgh, Pennsylvania
Abstract:The primary therapeutic strategy for ischemic stroke, as for MI patients, is early reperfusion. Improvement in stroke treatment will require dedicated stroke centers to emulate MI quality indicators such as minimizing the "door-to-balloon time". A critical element in achieving this goal will be organizing the existing multidisciplinary pool of carotid interventionalists to provide the endovascular component of the acute care for ischemic stroke patients.
Keywords:peripheral vascular disease (PVD)  stroke  thrombolytic
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