Endovascular clot retrieval therapy: implications for the organization of stroke systems of care in North America.

Abstract:

:Endovascular acute ischemic stroke therapy is now proven by randomized controlled trials to produce large, clinically meaningful benefits. In response, stroke systems of care must change to increase timely and equitable access to this therapy. In this review, we provide a North American perspective on implications for stroke systems, focusing on the United States and Canada, accompanied by initial recommendations for changes. Most urgently, every community must create access to a hospital that can safely and quickly provide intravenous tissue-type plasminogen activator and immediately transfer appropriate patients onward to a more capable center as required. Safe and effective therapy in the community setting will be ensured by certification programs, performance measurement, and data entry into registries.

journal_name

Stroke

journal_title

Stroke

authors

Smith EE,Schwamm LH

doi

10.1161/STROKEAHA.115.008385

subject

Has Abstract

pub_date

2015-06-01 00:00:00

pages

1462-7

issue

6

eissn

0039-2499

issn

1524-4628

pii

STROKEAHA.115.008385

journal_volume

46

pub_type

杂志文章,评审

相关文献

STROKE文献大全
  • Effects of Physical Activity on Poststroke Cognitive Function: A Meta-Analysis of Randomized Controlled Trials.

    abstract:BACKGROUND AND PURPOSE:Despite the social, health, and economic burdens associated with cognitive impairment poststroke, there is considerable uncertainty about the types of interventions that might preserve or restore cognitive abilities. The objective of this systematic review and meta-analysis was to evaluate the ef...

    journal_title:Stroke

    pub_type: 杂志文章,meta分析,评审

    doi:10.1161/STROKEAHA.117.017319

    authors: Oberlin LE,Waiwood AM,Cumming TB,Marsland AL,Bernhardt J,Erickson KI

    更新日期:2017-11-01 00:00:00

  • Guidelines for carotid endarterectomy. A multidisciplinary consensus statement from the ad hoc Committee, American Heart Association.

    abstract:BACKGROUND AND PURPOSE:Indications for carotid endarterectomy have engendered considerable debate among experts and have resulted in publication of retrospective reviews, natural history studies, audits of community practice, position papers, expert opinion statements, and finally prospective randomized trials. The Ame...

    journal_title:Stroke

    pub_type: 共识发展会议,指南,杂志文章,实务指引,评审

    doi:10.1161/01.str.26.1.188

    authors: Moore WS,Barnett HJ,Beebe HG,Bernstein EF,Brener BJ,Brott T,Caplan LR,Day A,Goldstone J,Hobson RW 2nd

    更新日期:1995-01-01 00:00:00

  • Carotid intima-media thickness is different in large- and small-vessel ischemic stroke: the SMART study.

    abstract:BACKGROUND AND PURPOSE:The role of athersclerosis in the difference between the pathogenesis of large-vessel disease (LVD) and small-vessel disease (SVD) is a matter of debate. Common carotid artery intima-media thickness (CCA IMT) is a marker of atherosclerosis. Our aim was to compare CCA IMT between SVD and LVD patie...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.STR.0000260220.37016.88

    authors: Pruissen DM,Gerritsen SA,Prinsen TJ,Dijk JM,Kappelle LJ,Algra A,SMART Study Group.

    更新日期:2007-04-01 00:00:00

  • Perforating branches of the middle cerebral artery. Microanatomy and clinical significance of their intracerebral segments.

    abstract::Perforating branches of the middle cerebral arteries (MCA) were examined on the forebrain hemispheres of fourteen human brains. It was noticed that their intracerebral segments arose from the MCA main trunk, and its terminal and collateral (cortical) branches. They terminated in certain parts of the basal ganglia and ...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.16.6.1022

    authors: Marinkovic SV,Milisavljevic MM,Kovacevic MS,Stevic ZD

    更新日期:1985-11-01 00:00:00

  • Endovascular Treatment for Acute Ischemic Stroke in Patients on Oral Anticoagulants: Results From the MR CLEAN Registry.

    abstract::Background and Purpose- The use of oral anticoagulants (OAC) is considered a contra-indication for intravenous thrombolytics as acute treatment of ischemic stroke. However, little is known about the risks and benefits of endovascular treatment in patients on prior OAC. We aim to compare outcomes after endovascular tre...

    journal_title:Stroke

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1161/STROKEAHA.119.028675

    authors: Goldhoorn RB,van de Graaf RA,van Rees JM,Lingsma HF,Dippel DWJ,Hinsenveld WH,Postma A,van den Wijngaard I,van Zwam WH,van Oostenbrugge RJ,Roozenbeek B,MR CLEAN Registry Investigators—Group Authors.

    更新日期:2020-06-01 00:00:00

  • Genetic variation in LPAL2, LPA, and PLG predicts plasma lipoprotein(a) level and carotid artery disease risk.

    abstract:BACKGROUND AND PURPOSE:lipoprotein(a) [Lp(a)] level is an established risk factor for coronary artery disease and has been implicated in carotid artery disease (CAAD). The relationship between genetic variation in the LPA gene region and CAAD risk remains unknown. METHODS:we genotyped single nucleotide polymorphisms (...

    journal_title:Stroke

    pub_type: 杂志文章,多中心研究

    doi:10.1161/STROKEAHA.110.591230

    authors: Ronald J,Rajagopalan R,Cerrato F,Nord AS,Hatsukami T,Kohler T,Marcovina S,Heagerty P,Jarvik GP

    更新日期:2011-01-01 00:00:00

  • Eliciting information on differential sensation of heat in those with and without poststroke aphasia using a visual analogue scale.

    abstract:BACKGROUND AND PURPOSE:Aphasia can result in an inability to communicate the presence, location, or intensity of pain. Although visual analogue scales (VASs) exist, it is unknown whether they are useful in assessing pain in individuals with aphasia. The objective was to determine whether those with poststroke aphasia c...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.STR.0000198872.75377.34

    authors: Korner-Bitensky N,Kehayia E,Tremblay N,Mazer B,Singer F,Tarasuk J

    更新日期:2006-02-01 00:00:00

  • Effect of thrombin inhibition in vascular dementia and silent cerebrovascular disease. An MR spectroscopy study.

    abstract:BACKGROUND AND PURPOSE:Silent cerebrovascular disease (CVD) has been proposed as a predisposing condition for clinically overt stroke and vascular dementia. Recently, we found increased thrombin generation in silent CVD patients. Here, we report the effect of thrombin inhibition using a potent selective thrombin inhibi...

    journal_title:Stroke

    pub_type: 临床试验,杂志文章

    doi:10.1161/01.str.30.5.1033

    authors: Kario K,Matsuo T,Hoshide S,Umeda Y,Shimada K

    更新日期:1999-05-01 00:00:00

  • Utility of Computed Tomographic Perfusion in Thrombolysis for Minor Stroke.

    abstract:BACKGROUND AND PURPOSE:The use of thrombolysis in acute minor ischemic stroke (MIS) remains controversial. We sought to determine the safety and efficacy of intravenous tissue-type plasminogen activator (IV-tPA) in acute MIS patients with demonstrable penumbra on computed tomographic perfusion study. METHODS:Consecuti...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/STROKEAHA.116.013021

    authors: Ng FC,Coote S,Frost T,Bladin C,Choi PM

    更新日期:2016-07-01 00:00:00

  • Acute effects of isovolemic hemodilution with crystalloids in a canine model of focal cerebral ischemia.

    abstract::We used 44 splenectomized dogs to study the effects of isovolemic hemodilution with a crystalloid solution. The dogs were randomly divided into a hemodilution and a control group. In each group, 17 dogs were subjected to 6 hours of internal carotid and middle cerebral artery occlusion, and five dogs received sham oper...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.20.4.534

    authors: Hyodo A,Heros RC,Tu YK,Ogilvy C,Graichen R,Lagree K,Korosue K

    更新日期:1989-04-01 00:00:00

  • Critical appraisal of the design and reporting of studies of imaging and measurement of carotid stenosis.

    abstract:BACKGROUND AND PURPOSE:Several hundred studies have been published over the last few years on imaging and measurement of carotid stenosis. Despite all this research, there is still no consensus about how best to image and measure stenosis. One possible explanation for this is that many of the studies have not been larg...

    journal_title:Stroke

    pub_type: 杂志文章,评审

    doi:10.1161/01.str.31.6.1444

    authors: Rothwell PM,Pendlebury ST,Wardlaw J,Warlow CP

    更新日期:2000-06-01 00:00:00

  • Demographic and geographic vascular risk factor differences in European young adults with ischemic stroke: the 15 cities young stroke study.

    abstract:BACKGROUND AND PURPOSE:We compared among young patients with ischemic stroke the distribution of vascular risk factors among sex, age groups, and 3 distinct geographic regions in Europe. METHODS:We included patients with first-ever ischemic stroke aged 15 to 49 years from existing hospital- or population-based prospec...

    journal_title:Stroke

    pub_type: 杂志文章,多中心研究

    doi:10.1161/STROKEAHA.112.662866

    authors: Putaala J,Yesilot N,Waje-Andreassen U,Pitkäniemi J,Vassilopoulou S,Nardi K,Odier C,Hofgart G,Engelter S,Burow A,Mihalka L,Kloss M,Ferrari J,Lemmens R,Coban O,Haapaniemi E,Maaijwee N,Rutten-Jacobs L,Bersano A,Cereda

    更新日期:2012-10-01 00:00:00

  • Mechanisms of perioperative cerebral infarction.

    abstract::Perioperative cerebral infarction occurs in less than 1% of general surgical procedures; the mechanism is usually unknown. The clinical features of 12 consecutive perioperative strokes were retrospectively reviewed. Although intraoperative hypotension was frequent, onset of deficit occurred postoperatively in 83% and ...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.13.6.766

    authors: Hart R,Hindman B

    更新日期:1982-11-01 00:00:00

  • Predicting long-term independency in activities of daily living after middle cerebral artery stroke: does information from MRI have added predictive value compared with clinical information?

    abstract:BACKGROUND AND PURPOSE:To investigate whether neuroimaging information has added predictive value compared with clinical information for independency in activities of daily living (ADL) 1 year after stroke. METHODS:Seventy-five first-ever middle cerebral artery stroke survivors were evaluated in logistic regression an...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.STR.0000206462.09410.6f

    authors: Schiemanck SK,Kwakkel G,Post MW,Kappelle LJ,Prevo AJ

    更新日期:2006-04-01 00:00:00

  • Predictors of long-term mortality in patients with ischemic stroke referred for transesophageal echocardiography.

    abstract:BACKGROUND AND PURPOSE:Findings on transesophageal echocardiography (TEE) after ischemic stroke predict recurrent embolic events and prompt therapy; however, the additive predictive power of TEE findings on long-term mortality is unknown. Our goal was to study the impact of TEE findings on all cause mortality in ischem...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.STR.0000196939.12313.16

    authors: Ward RP,Don CW,Furlong KT,Lang RM

    更新日期:2006-01-01 00:00:00

  • A double blind trial of naloxone in the treatment of acute stroke.

    abstract::Naloxone has been reported to have potential benefit in the treatment of stroke. We evaluated the effect of naloxone in a double-blind trial conducted with 15 stroke patients whose deficits ranged from 8 to 60 hours in duration. All but one patient sustained a cerebral infarction. Neurologic function was assessed befo...

    journal_title:Stroke

    pub_type: 临床试验,杂志文章

    doi:10.1161/01.str.15.4.627

    authors: Fallis RJ,Fisher M,Lobo RA

    更新日期:1984-07-01 00:00:00

  • Low carotid calcium score is associated with higher levels of glycosaminoglycans, tumor necrosis factor-alpha, and parathyroid hormone in human carotid plaques.

    abstract:BACKGROUND AND PURPOSE:Computed tomography (CT) is used to study coronary artery plaques, but little is known about its potential to characterize plaque composition. This study assesses the relation between carotid calcium score (CCS) by CT and plaque composition, namely extracellular matrix, inflammatory mediators, an...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/STROKEAHA.111.620658

    authors: Edsfeldt A,Dias N,Elmståhl B,Müller MF,Berg K,Nitulescu M,Persson A,Ekberg O,Gonçalves I

    更新日期:2011-10-01 00:00:00

  • Cerebral microembolism and the risk of ischemia in asymptomatic high-grade internal carotid artery stenosis.

    abstract:BACKGROUND AND PURPOSE:Previous work has shown that cerebral microembolism detected with transcranial Doppler sonography distal to internal carotid artery stenosis occurs more frequently in recently symptomatic compared with asymptomatic patients. It has remained unclear whether cerebral microembolism also indicates a ...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.26.11.2184

    authors: Siebler M,Nachtmann A,Sitzer M,Rose G,Kleinschmidt A,Rademacher J,Steinmetz H

    更新日期:1995-11-01 00:00:00

  • Stereotactic treatment of intracerebral hematoma by means of a plasminogen activator: a multicenter randomized controlled trial (SICHPA).

    abstract:BACKGROUND AND PURPOSE:Treatment of intracerebral hematoma (ICH) is controversial. An advantage of neurosurgical intervention over conservative treatment of ICH has not been established. Recent reports suggest a favorable effect of stereotactic blood clot removal after liquefaction by means of a plasminogen activator. ...

    journal_title:Stroke

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1161/01.STR.0000063367.52044.40

    authors: Teernstra OP,Evers SM,Lodder J,Leffers P,Franke CL,Blaauw G,Multicenter randomized controlled trial (SICHPA).

    更新日期:2003-04-01 00:00:00

  • Influence of anesthetics on metabolic, functional and pathological responses to regional cerebral ischemia.

    abstract::Regional cerebral ischemia was produced by common carotid artery occlusion in gerbils and by middle cerebral artery occlusion in dogs, cats, and squirrel monkeys. Anesthesia was induced with either pentobarbital or halothane and maintained for two to three hours after vessel occlusion. In acute studies, the effect of ...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.6.4.405

    authors: Michenfelder JD,Milde JH

    更新日期:1975-07-01 00:00:00

  • Recovery of upper limb function after cerebellar stroke: lesion symptom mapping and arm kinematics.

    abstract:BACKGROUND AND PURPOSE:Loss of movement coordination is the main postacute symptom after cerebellar infarction. Although the course of motor recovery has been described previously, detailed kinematic descriptions of acute stage ataxia are rare and no attempt has been made to link improvements in motor function to measu...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/STROKEAHA.110.583641

    authors: Konczak J,Pierscianek D,Hirsiger S,Bultmann U,Schoch B,Gizewski ER,Timmann D,Maschke M,Frings M

    更新日期:2010-10-01 00:00:00

  • Physical activity and stroke incidence: the Harvard Alumni Health Study.

    abstract:BACKGROUND AND PURPOSE:Physiologically, it appears plausible for physical activity to decrease stroke risk; however, epidemiological studies have produced mixed findings. Furthermore, few studies have examined specific kinds and intensities of activities. The purpose of this study was to examine the association between...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.29.10.2049

    authors: Lee IM,Paffenbarger RS Jr

    更新日期:1998-10-01 00:00:00

  • Prospective study of depressive symptoms and risk of stroke among japanese.

    abstract:BACKGROUND AND PURPOSE:We sought to examine the relationship between depressive symptoms and the incidence of stroke among Japanese men and women. METHODS:A 10.3-year prospective study on the relationship between depressive symptoms and the incidence of stroke was conducted with 901 men and women aged 40 to 78 years i...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.32.4.903

    authors: Ohira T,Iso H,Satoh S,Sankai T,Tanigawa T,Ogawa Y,Imano H,Sato S,Kitamura A,Shimamoto T

    更新日期:2001-04-01 00:00:00

  • Primary care physician-reported secondary and tertiary stroke prevention practices. A comparison between the United States and the United Kingdom.

    abstract:BACKGROUND AND PURPOSE:Stroke is a major healthcare problem in both the United States (US) and the United Kingdom (UK). Little comparative data are available concerning how generalist physicians in the two countries approach the management of patients at high risk of stroke. METHODS:Contemporaneous surveys of random s...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.28.4.746

    authors: Goldstein LB,Farmer A,Matchar DB

    更新日期:1997-04-01 00:00:00

  • Baseline National Institutes of Health stroke scale-adjusted time window for intravenous tissue-type plasminogen activator in acute ischemic stroke.

    abstract:BACKGROUND AND PURPOSE:The effect of tissue-type plasminogen activator on functional outcome decreases progressively over time. However, given the differential pattern of arterial occlusion, stroke severity, and speed of ischemic lesion growth among candidates for reperfusion, the time window should be adjusted accordi...

    journal_title:Stroke

    pub_type: 临床试验,杂志文章

    doi:10.1161/STROKEAHA.113.004307

    authors: Muchada M,Rubiera M,Rodriguez-Luna D,Pagola J,Flores A,Kallas J,Sanjuan E,Meler P,Alvarez-Sabin J,Ribo M,Molina CA

    更新日期:2014-04-01 00:00:00

  • Stent-assisted reconstructive endovascular repair of cranial fusiform atherosclerotic and dissecting aneurysms: long-term clinical and angiographic follow-up.

    abstract:BACKGROUND AND PURPOSE:The purpose of this study was to investigate the periprocedural morbidity, mortality, and long-term clinical and angiographic follow-up using stent-assisted coiling and stenting alone for treatment of cranial fusiform dissecting and atherosclerotic aneurysms. METHODS:The Institutional Review Boa...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/STROKEAHA.107.512996

    authors: Wakhloo AK,Mandell J,Gounis MJ,Brooks C,Linfante I,Winer J,Weaver JP

    更新日期:2008-12-01 00:00:00

  • Anterior spinal artery aneurysm presenting as a subarachnoid hemorrhage.

    abstract::A woman who presented with a subarachnoid hemorrhage secondary to a ruptured anterior spinal artery aneurysm of the spinal cord is reported. While this is the first report of a ruptured aneurysm of the anterior spinal artery with angiographic confirmation, it emphasizes that occasionally subarachnoid hemorrhage may be...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.12.2.230

    authors: Vincent FM

    更新日期:1981-03-01 00:00:00

  • Inclusion of stroke in cardiovascular risk prediction instruments: a statement for healthcare professionals from the American Heart Association/American Stroke Association.

    abstract:BACKGROUND AND PURPOSE:Current US guideline statements regarding primary and secondary cardiovascular risk prediction and prevention use absolute risk estimates to identify patients who are at high risk for vascular disease events and who may benefit from specific preventive interventions. These guidelines do not expli...

    journal_title:Stroke

    pub_type: 杂志文章,实务指引

    doi:10.1161/STR.0b013e31825bcdac

    authors: Lackland DT,Elkind MS,D'Agostino R Sr,Dhamoon MS,Goff DC Jr,Higashida RT,McClure LA,Mitchell PH,Sacco RL,Sila CA,Smith SC Jr,Tanne D,Tirschwell DL,Touzé E,Wechsler LR,American Heart Association Stroke Council.,Council on

    更新日期:2012-07-01 00:00:00

  • Impaired functional recovery after stroke in the stroke-prone spontaneously hypertensive rat.

    abstract:BACKGROUND AND PURPOSE:To identify if the stroke-prone spontaneously hypertensive rat (SHRSP) exhibits impaired functional recovery after stroke compared with its normotensive reference strain, the Wistar Kyoto rat (WKY). METHODS:In study 1, a 2-mm distal middle cerebral artery occlusion (middle cerebral artery occlus...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.STR.0000149629.32525.b7

    authors: McGill JK,Gallagher L,Carswell HV,Irving EA,Dominiczak AF,Macrae IM

    更新日期:2005-01-01 00:00:00

  • Diffusion and perfusion magnetic resonance imaging studies to evaluate a noncompetitive N-methyl-D-aspartate antagonist and reperfusion in experimental stroke in rats.

    abstract:BACKGROUND AND PURPOSE:Diffusion magnetic resonance imaging (MRI) can quantitatively detect focal ischemic injury within minutes of onset, and perfusion MRI can evaluate the brain's microcirculation. N-Methyl-D-aspartate (NMDA) antagonists and reperfusion can reduce lesion size in stroke models. We used diffusion and p...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.24.12.2074

    authors: Minematsu K,Fisher M,Li L,Sotak CH

    更新日期:1993-12-01 00:00:00