Update of the Korean Clinical Practice Guidelines for Endovascular Recanalization Therapy in Patients with Acute Ischemic Stroke.
- Author:
Keun Sik HONG
1
;
Sang Bae KO
;
Kyung Ho YU
;
Cheolkyu JUNG
;
Sukh Que PARK
;
Byung Moon KIM
;
Chul Hoon CHANG
;
Hee Joon BAE
;
Ji Hoe HEO
;
Chang Wan OH
;
Byung Chul LEE
;
Bum Tae KIM
;
Bum soo KIM
;
Chin Sang CHUNG
;
Byung Woo YOON
;
Joung Ho RHA
Author Information
- Publication Type:Original Article
- Keywords: Guidelines; Acute ischemic stroke; Large cerebral artery occlusion; Thrombolysis; Reperfusion; Endovascular recanalization therapy
- MeSH: Arteries; Cerebral Arteries; Consensus; Humans; Neuroimaging; Patient Selection; Reperfusion; Stroke*; Tissue Plasminogen Activator; Writing
- From:Journal of Stroke 2016;18(1):102-113
- CountryRepublic of Korea
- Language:English
- Abstract: Patients with severe stroke due to acute large cerebral artery occlusion are likely to be severely disabled or dead without timely reperfusion. Previously, intravenous tissue plasminogen activator (IV-TPA) within 4.5 hours after stroke onset was the only proven therapy, but IV-TPA alone does not sufficiently improve the outcome of patients with acute large artery occlusion. With the introduction of the advanced endovascular therapy, which enables more fast and more successful recanalization, recent randomized trials consecutively and consistently demonstrated the benefit of endovascular recanalization therapy (ERT) when added to IV-TPA. Accordingly, to update the recommendations, we assembled members of the writing committee appointed by the Korean Stroke Society, the Korean Society of Interventional Neuroradiology, and the Society of Korean Endovascular Neurosurgeons. Reviewing the evidences that have been accumulated, the writing members revised recommendations, for which formal consensus was achieved by convening a panel composed of 34 experts from the participating academic societies. The current guideline provides the evidence-based recommendations for ERT in patients with acute large cerebral artery occlusion regarding patient selection, treatment modalities, neuroimaging evaluation, and system organization.
