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Stroke intervention: catheter-based therapy for acute ischemic stroke
Authors:White Christopher J  Abou-Chebl Alex  Cates Christopher U  Levy Elad I  McMullan Paul W  Rocha-Singh Krishna  Weinberger Jesse M  Wholey Mark H
Affiliation:? Department of Cardiovascular Diseases, The John Ochsner Heart and Vascular Institute, Ochsner Clinic Foundation, New Orleans, Louisiana
Department of Neurology, University of Louisville School of Medicine, Louisville, Kentucky
Division of Cardiology, Emory University, Atlanta, Georgia
§ Department of Neurosurgery, State University of New York at Buffalo, Buffalo, New York
Prairie Cardiovascular Consultants, Prairie Heart Institute, Springfield, Illinois
Department of Neurology, The Mount Sinai School of Medicine, New York, New York
# Department of Radiology and Vascular Surgery, University of Pittsburgh Medical Center Shadyside Hospital, Pittsburgh, Pennsylvania
Abstract:The majority (>80%) of the three-quarters of a million strokes that will occur in the United States this year are ischemic in nature. The treatment of acute ischemic stroke is very similar to acute myocardial infarction, which requires timely reperfusion therapy for optimal results. The majority of patients with acute ischemic stroke do not receive any form of reperfusion therapy, unlike patients with acute myocardial infarction. Improving outcomes for acute stroke will require patient education to encourage early presentation, an aggressive expansion of qualified hospitals, and willing providers and early imaging strategies to match patients with their best options for reperfusion therapy to minimize complications.
Keywords:angioplasty   neurovascular   stent   thrombectomy   thrombolysis
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