Abstract:
BACKGROUND AND PURPOSE:The goal of the Stroke Treatment Academic Industry Roundtable (STAIR) meetings is to advance the development of acute and restorative stroke therapies. Summary of Review- At the STAIR VII recommendations for strategies to maximize the use of intravenous thrombolytics through targeting public education, and the refinement of current treatment exclusion criteria were proposed. Increased utilization of mechanical devices for intra-arterial recanalization can be achieved by obtaining more definitive evidence of efficacy in randomized clinical trials, identification of patient characteristics associated with treatment efficacy, optimization of technical approaches, clarification of effective time windows, and development of approaches to limit complications. Neuroprotective strategies remain viable; recommendations for further study of these agents include an emphasis on rapid administration, consideration of the systemic effects of ischemic stroke, prevention of complications associated with early reperfusion, a focus on agents with multiple mechanisms of action, and consideration of possible interactions between neuroprotective and thrombolytic therapies. CONCLUSIONS:Extending intravenous thrombolysis to a broader patient population, clarifying the risk and benefits of intra-arterial reperfusion therapies, and further development of neuroprotective therapies were the key recommendations from STAIR VII.
journal_name
Strokejournal_title
Strokeauthors
Albers GW,Goldstein LB,Hess DC,Wechsler LR,Furie KL,Gorelick PB,Hurn P,Liebeskind DS,Nogueira RG,Saver JL,STAIR VII Consortium.doi
10.1161/STROKEAHA.111.618850subject
Has Abstractpub_date
2011-09-01 00:00:00pages
2645-50issue
9eissn
0039-2499issn
1524-4628pii
STROKEAHA.111.618850journal_volume
42pub_type
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