The Advanced Reperfusion Era: Implications for Emergency Systems of Ischemic Stroke Care

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• 作者：Joseph B. Miller ; MD ; MS^a ; ^b ; ^{jmiller6@hfhs.org} ; ; Lisa H. Merck ; MD ; MPH^c ; Charles R. Wira ; MD^e ; William J. Meurer ; MD ; MS^f ; Jon W. Schrock ; MD^g ; Jason T. Nomura ; MD^h ; Matthew S. Siket ; MD ; MS^d ; Tracy E. Madsen ; MD ; ScM^d ; David W. Wright ; MDⁱ ; Peter D. Panagos ; MD^j ; Christopher Lewandowski ; MD^a
• 刊名：Annals of Emergency Medicine
• 出版年：2017
• 出版时间：February 2017
• 年：2017
• 卷：69
• 期：2
• 页码：192-201
• 全文大小：1163 K
• 卷排序：69

文摘

Large vessel ischemic stroke is a leading cause of morbidity and mortality throughout the world. Recent advances in endovascular stroke treatment are changing the treatment paradigm for these patients. This concepts article summarizes the time-dependent nature of stroke care and evaluates the recent advancements in endovascular treatment. These advancements have significant implications for out-of-hospital, hospital, and regional systems of stroke care. Emergency medicine clinicians have a central role in implementing these systems that will ensure timely treatment of patients and selection of those who may benefit from endovascular care.