Endovascular therapy of acute ischemic stroke: report of the Standards of Practice Committee of the Society of NeuroInterventional Surgery
- K A Blackham1,
- P M Meyers2,
- T A Abruzzo3,
- F C Alberquerque4,
- D Fiorella5,
- J Fraser6,
- D Frei7,
- C D Gandhi8,
- D V Heck9,
- J A Hirsch10,
- D P Hsu1,
- M Jayaraman11,
- S Narayanan12,
- C Prestigiacomo13,
- J L Sunshine1 on behalf of the Society for NeuroInterventional Surgery
- 1Department of Radiology, University Hospitals of Cleveland, Case Western Reserve University, Cleveland, Ohio, USA
- 2Department of Radiology and Neurological Surgery, Columbia University, College of Physicians and Surgeons Director, Neuroendovascular Service New York Presbyterian - Columbia, Neurological Institute of New York, New York, USA
- 3University of Cincinnati Medical Center, Cincinnati, OH, USA
- 4Division of Neurological Surgery, Barrow Neurosurgical Associates LTD, Phoenix, AZ, USA
- 5Department of Neurological Surgery, Stony Brook University Medical Center, Stony Brook, New York, USA
- 6Department of Neurological Surgery, University of Kentucky, Lexington, KY, USA
- 7Interventional Neuroradiology, Radiology Imaging Associates, Englewood, CO, USA
- 8Department of Neurological Surgery, UMDNJ-New Jersey Medical School, Newark, NJ, USA
- 9Department of Radiology, Forsyth Radiological Associates, Winston Salem, NC, USA
- 10NeuroInterventional Radiology, Massachusetts General Hospital, Boston, MA, USA
- 11Warren Alpert School of Medicine at Brown University, Director, Interventional Neuroradiology, Rhode Island Hospital, USA
- 12Deparments of Neurosurgery and Neurology, Wayne State University/Detroit Medical Center, Detroit, MI, USA
- 13Department of Neurological Surgery, University of Medicine and Dentistry of New Jersey, Newark, NJ, USA
- Correspondence to Dr K A Blackham, Department of Radiology, University Hospitals of Cleveland, Case Western Reserve University, 11100 Euclid Ave, Cleveland, OH 44106, USA; kristine.blackham{at}uhhospitals.org
- Accepted 20 December 2011
- Published Online First 24 January 2012
Abstract
Objective To summarize and classify the evidence for the use of endovascular techniques in the treatment of patients with acute ischemic stroke.
Methods Recommendations previously published by the American Heart Association (AHA) (Guidelines for the early management of adults with ischemic stroke (Circulation 2007) and Scientific statement indications for the performance of intracranial endovascular neurointerventional procedures (Circulation 2009)) were vetted and used as a foundation for the current process. Building on this foundation, a critical review of the literature was performed to evaluate evidence supporting the endovascular treatment of acute ischemic stroke. The assessment was based on guidelines for evidence based medicine proposed by the Stroke Council of the AHA and the University of Oxford, Centre for Evidence Based Medicine (CEBM). Procedural safety, technical efficacy and impact on patient outcomes were specifically examined.
Footnotes
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Competing interests None.
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Provenance and peer review Commissioned; not externally peer reviewed.
