Emergency management of stroke in the era of mechanical thrombectomy
Emergency management of stroke has been directed at the delivery of recombinant tissue plasminogen activator (tPA) in a timely fashion. Because of the many limitations attached to the delivery of tPA and the perceived benefits accrued to tPA, its use has been limited. Mechanical thrombectomy, a far...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
The Korean Society of Emergency Medicine
2019-12-01
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| Series: | Clinical and Experimental Emergency Medicine |
| Subjects: | |
| Online Access: | http://www.ceemjournal.org/upload/pdf/ceem-18-065.pdf |
| _version_ | 1797895562666704896 |
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| author | Ethan S. Brandler Nayeem Baksh |
| author_facet | Ethan S. Brandler Nayeem Baksh |
| author_sort | Ethan S. Brandler |
| collection | DOAJ |
| description | Emergency management of stroke has been directed at the delivery of recombinant tissue plasminogen activator (tPA) in a timely fashion. Because of the many limitations attached to the delivery of tPA and the perceived benefits accrued to tPA, its use has been limited. Mechanical thrombectomy, a far superior therapy for the largest and most disabling strokes, large vessel occlusions (LVOs), has changed the way acute strokes are managed. Aside from the rush to deliver tPA, there is now a need to identify LVO and refer those patients with LVO to physicians and facilities capable of delivering urgent thrombectomy. Other parts of emergency department management of stroke are directed at identifying and mitigating risk factors for future strokes and at preventing further damage from occurring. We review here the most recent literature supporting these advances in stroke care and present a framework for understanding the role that emergency physicians play in acute stroke care. |
| first_indexed | 2024-04-10T07:29:01Z |
| format | Article |
| id | doaj.art-a281da01f0d94f319f11b8e69c1dac56 |
| institution | Directory Open Access Journal |
| issn | 2383-4625 |
| language | English |
| last_indexed | 2024-04-10T07:29:01Z |
| publishDate | 2019-12-01 |
| publisher | The Korean Society of Emergency Medicine |
| record_format | Article |
| series | Clinical and Experimental Emergency Medicine |
| spelling | doaj.art-a281da01f0d94f319f11b8e69c1dac562023-02-24T04:20:17ZengThe Korean Society of Emergency MedicineClinical and Experimental Emergency Medicine2383-46252019-12-016427328710.15441/ceem.18.065248Emergency management of stroke in the era of mechanical thrombectomyEthan S. Brandler0Nayeem Baksh1Department of Emergency Medicine, State University of New York at Stony Brook, Stony Brook, NY, USADepartment of Emergency Medicine, State University of New York at Stony Brook, Stony Brook, NY, USAEmergency management of stroke has been directed at the delivery of recombinant tissue plasminogen activator (tPA) in a timely fashion. Because of the many limitations attached to the delivery of tPA and the perceived benefits accrued to tPA, its use has been limited. Mechanical thrombectomy, a far superior therapy for the largest and most disabling strokes, large vessel occlusions (LVOs), has changed the way acute strokes are managed. Aside from the rush to deliver tPA, there is now a need to identify LVO and refer those patients with LVO to physicians and facilities capable of delivering urgent thrombectomy. Other parts of emergency department management of stroke are directed at identifying and mitigating risk factors for future strokes and at preventing further damage from occurring. We review here the most recent literature supporting these advances in stroke care and present a framework for understanding the role that emergency physicians play in acute stroke care.http://www.ceemjournal.org/upload/pdf/ceem-18-065.pdfstrokelarge vessel occlusionemergenciestissue plasminogen activatormechanical thrombectomy |
| spellingShingle | Ethan S. Brandler Nayeem Baksh Emergency management of stroke in the era of mechanical thrombectomy Clinical and Experimental Emergency Medicine stroke large vessel occlusion emergencies tissue plasminogen activator mechanical thrombectomy |
| title | Emergency management of stroke in the era of mechanical thrombectomy |
| title_full | Emergency management of stroke in the era of mechanical thrombectomy |
| title_fullStr | Emergency management of stroke in the era of mechanical thrombectomy |
| title_full_unstemmed | Emergency management of stroke in the era of mechanical thrombectomy |
| title_short | Emergency management of stroke in the era of mechanical thrombectomy |
| title_sort | emergency management of stroke in the era of mechanical thrombectomy |
| topic | stroke large vessel occlusion emergencies tissue plasminogen activator mechanical thrombectomy |
| url | http://www.ceemjournal.org/upload/pdf/ceem-18-065.pdf |
| work_keys_str_mv | AT ethansbrandler emergencymanagementofstrokeintheeraofmechanicalthrombectomy AT nayeembaksh emergencymanagementofstrokeintheeraofmechanicalthrombectomy |