2019 Update of the Korean Clinical Practice Guidelines of Stroke for Endovascular Recanalization Therapy in Patients with Acute Ischemic Stroke
Endovascular recanalization therapy (ERT) has been a standard of care for patients with acute ischemic stroke due to large artery occlusion (LAO) within 6 hours after onset, since five landmark ERT trials conducted by 2015 demonstrated its clinical benefit. Recently, two randomized clinical trials d...
| Main Authors: | , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Korean Society of Interventional Neuroradiology
2019-09-01
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| Series: | Neurointervention |
| Subjects: | |
| Online Access: | http://neurointervention.org/upload/pdf/neuroint-2019-00164.pdf |
| _version_ | 1797329830969081856 |
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| author | Sang-Bae Ko Hong-Kyun Park Byung Moon Kim Ji Hoe Heo Joung-Ho Rha Sun U. Kwon Jong S. Kim Byung-Chul Lee Sang Hyun Suh Cheolkyu Jung Hae Woong Jeong Dong-Hun Kang Hee-Joon Bae Byung-Woo Yoon Keun-Sik Hong |
| author_facet | Sang-Bae Ko Hong-Kyun Park Byung Moon Kim Ji Hoe Heo Joung-Ho Rha Sun U. Kwon Jong S. Kim Byung-Chul Lee Sang Hyun Suh Cheolkyu Jung Hae Woong Jeong Dong-Hun Kang Hee-Joon Bae Byung-Woo Yoon Keun-Sik Hong |
| author_sort | Sang-Bae Ko |
| collection | DOAJ |
| description | Endovascular recanalization therapy (ERT) has been a standard of care for patients with acute ischemic stroke due to large artery occlusion (LAO) within 6 hours after onset, since five landmark ERT trials conducted by 2015 demonstrated its clinical benefit. Recently, two randomized clinical trials demonstrated that ERT, even in the late time window of up to 16 hours or 24 hours after last known normal time, improved the outcome of patients who had a target mismatch, defined as either clinical-core mismatch or perfusion-core mismatch, which prompted the update of national guidelines in several countries. Accordingly, to provide evidence-based and up-to-date recommendations for ERT in patients with acute LAO in Korea, the Clinical Practice Guidelines Committee of the Korean Stroke Society decided to revise the previous Korean Clinical Practice Guidelines of Stroke for ERT. For this update, the members of the writing group were appointed by the Korean Stroke Society and the Korean Society of Interventional Neuroradiology. After thoroughly reviewing the updated evidence from two recent trials and relevant literature, the writing members revised recommendations, for which formal consensus was achieved by convening an expert panel composed of 45 experts from the participating academic societies. The current guidelines are intended to help healthcare providers, patients, and their caregivers make well-informed decisions and to improve the quality of care regarding ERT. The ultimate decision for ERT in a particular patient must be made in light of circumstances specific to that patient. |
| first_indexed | 2024-03-08T07:12:06Z |
| format | Article |
| id | doaj.art-edbbdf5e64db4d62b2c8f67019acac94 |
| institution | Directory Open Access Journal |
| issn | 2093-9043 2233-6273 |
| language | English |
| last_indexed | 2024-03-08T07:12:06Z |
| publishDate | 2019-09-01 |
| publisher | Korean Society of Interventional Neuroradiology |
| record_format | Article |
| series | Neurointervention |
| spelling | doaj.art-edbbdf5e64db4d62b2c8f67019acac942024-02-03T02:45:40ZengKorean Society of Interventional NeuroradiologyNeurointervention2093-90432233-62732019-09-01142718110.5469/neuroint.2019.001642662019 Update of the Korean Clinical Practice Guidelines of Stroke for Endovascular Recanalization Therapy in Patients with Acute Ischemic StrokeSang-Bae Ko0Hong-Kyun Park1Byung Moon Kim2Ji Hoe Heo3Joung-Ho Rha4Sun U. Kwon5Jong S. Kim6Byung-Chul Lee7Sang Hyun Suh8Cheolkyu Jung9Hae Woong Jeong10Dong-Hun Kang11Hee-Joon Bae12Byung-Woo Yoon13Keun-Sik Hong14 Department of Neurology, Seoul National University College of Medicine, Seoul, Korea Department of Neurology, Inje University Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Korea Department of Radiology, Severance Stroke Center, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea Department of Neurology, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea Department of Neurology, Inha University School of Medicine, Incheon, Korea Department of Neurology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea Department of Neurology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea Department of Neurology, Hallym University Sacred Heart Hospital, Hallym University College of Medicine, Anyang, Korea Department of Radiology, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea Department of Radiology, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea Department of Radiology, Inje University Busan Paik Hospital, Inje University College of Medicine, Busan, Korea Department of Neurosurgery, School of Medicine, Kyungpook National University, Daegu, Korea Department of Neurology and Cerebrovascular Center, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea Department of Neurology, Seoul National University College of Medicine, Seoul, Korea Department of Neurology, Inje University Ilsan Paik Hospital, Inje University College of Medicine, Goyang, KoreaEndovascular recanalization therapy (ERT) has been a standard of care for patients with acute ischemic stroke due to large artery occlusion (LAO) within 6 hours after onset, since five landmark ERT trials conducted by 2015 demonstrated its clinical benefit. Recently, two randomized clinical trials demonstrated that ERT, even in the late time window of up to 16 hours or 24 hours after last known normal time, improved the outcome of patients who had a target mismatch, defined as either clinical-core mismatch or perfusion-core mismatch, which prompted the update of national guidelines in several countries. Accordingly, to provide evidence-based and up-to-date recommendations for ERT in patients with acute LAO in Korea, the Clinical Practice Guidelines Committee of the Korean Stroke Society decided to revise the previous Korean Clinical Practice Guidelines of Stroke for ERT. For this update, the members of the writing group were appointed by the Korean Stroke Society and the Korean Society of Interventional Neuroradiology. After thoroughly reviewing the updated evidence from two recent trials and relevant literature, the writing members revised recommendations, for which formal consensus was achieved by convening an expert panel composed of 45 experts from the participating academic societies. The current guidelines are intended to help healthcare providers, patients, and their caregivers make well-informed decisions and to improve the quality of care regarding ERT. The ultimate decision for ERT in a particular patient must be made in light of circumstances specific to that patient.http://neurointervention.org/upload/pdf/neuroint-2019-00164.pdfguidelinecerebral infarctionlarge cerebral artery occlusionreperfusionmechanical thrombolysis |
| spellingShingle | Sang-Bae Ko Hong-Kyun Park Byung Moon Kim Ji Hoe Heo Joung-Ho Rha Sun U. Kwon Jong S. Kim Byung-Chul Lee Sang Hyun Suh Cheolkyu Jung Hae Woong Jeong Dong-Hun Kang Hee-Joon Bae Byung-Woo Yoon Keun-Sik Hong 2019 Update of the Korean Clinical Practice Guidelines of Stroke for Endovascular Recanalization Therapy in Patients with Acute Ischemic Stroke Neurointervention guideline cerebral infarction large cerebral artery occlusion reperfusion mechanical thrombolysis |
| title | 2019 Update of the Korean Clinical Practice Guidelines of Stroke for Endovascular Recanalization Therapy in Patients with Acute Ischemic Stroke |
| title_full | 2019 Update of the Korean Clinical Practice Guidelines of Stroke for Endovascular Recanalization Therapy in Patients with Acute Ischemic Stroke |
| title_fullStr | 2019 Update of the Korean Clinical Practice Guidelines of Stroke for Endovascular Recanalization Therapy in Patients with Acute Ischemic Stroke |
| title_full_unstemmed | 2019 Update of the Korean Clinical Practice Guidelines of Stroke for Endovascular Recanalization Therapy in Patients with Acute Ischemic Stroke |
| title_short | 2019 Update of the Korean Clinical Practice Guidelines of Stroke for Endovascular Recanalization Therapy in Patients with Acute Ischemic Stroke |
| title_sort | 2019 update of the korean clinical practice guidelines of stroke for endovascular recanalization therapy in patients with acute ischemic stroke |
| topic | guideline cerebral infarction large cerebral artery occlusion reperfusion mechanical thrombolysis |
| url | http://neurointervention.org/upload/pdf/neuroint-2019-00164.pdf |
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