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Imaging and Treatment of Patients with Acute Stroke: An Evidence-Based Review

Imaging and Treatment of Patients with Acute Stroke: An Evidence-Based Review SUMMARY: Evidence-based medicine has emerged as a valuable tool to guide clinical decision-making, by summarizing the best possible evidence for both diagnostic and treatment strategies. Imaging plays a critical role in the evaluation and treatment of patients with acute ischemic stroke, especially those who are being considered for thrombolytic or endovascular therapy. Time from stroke-symptom onset to treatment is a strong predictor of long-term functional outcome after stroke. Therefore, imaging and treatment decisions must occur rapidly in this setting, while minimizing unnecessary delays in treatment. The aim of this review was to summarize the best available evidence for the diagnostic and therapeutic management of patients with acute ischemic stroke. ABBREVIATIONS: DPM diffusion-perfusion mismatch IA intra-arterial ICH intracranial hemorrhage r-proUK recombinant prourokinase TIMI Thrombolysis in Myocardial Infarction http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png American Journal of Neuroradiology American Journal of Neuroradiology

Imaging and Treatment of Patients with Acute Stroke: An Evidence-Based Review

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References (78)

Publisher
American Journal of Neuroradiology
Copyright
Copyright © 2014 by the American Society of Neuroradiology.
ISSN
0195-6108
eISSN
1936-959X
DOI
10.3174/ajnr.A3518
pmid
23598836
Publisher site
See Article on Publisher Site

Abstract

SUMMARY: Evidence-based medicine has emerged as a valuable tool to guide clinical decision-making, by summarizing the best possible evidence for both diagnostic and treatment strategies. Imaging plays a critical role in the evaluation and treatment of patients with acute ischemic stroke, especially those who are being considered for thrombolytic or endovascular therapy. Time from stroke-symptom onset to treatment is a strong predictor of long-term functional outcome after stroke. Therefore, imaging and treatment decisions must occur rapidly in this setting, while minimizing unnecessary delays in treatment. The aim of this review was to summarize the best available evidence for the diagnostic and therapeutic management of patients with acute ischemic stroke. ABBREVIATIONS: DPM diffusion-perfusion mismatch IA intra-arterial ICH intracranial hemorrhage r-proUK recombinant prourokinase TIMI Thrombolysis in Myocardial Infarction

Journal

American Journal of NeuroradiologyAmerican Journal of Neuroradiology

Published: Jun 1, 2014

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