Expanding the treatment window for ischemic stroke through the application of novel system-based technology

Mohammad El-Ghanem, Fawaz Al-Mufti, Venkatraman Thulasi, Inder Paul Singh, Chirag Gandhi

Research output: Contribution to journalArticlepeer-review

7 Scopus citations

Abstract

Recent randomized controlled trials have demonstrated the superiority of endovascular treatment (ET) over medical management in the treatment of acute ischemic stroke patients with anterior circulation emergent large vessel occlusions (ELVOs). Due to such accumulating evidence, expanding ET has become of paramount importance. Advancements in modern technology have enabled the use of mobile stroke units, telestroke networks, mobile neuroendovascular teams, and smartphone applications that shorten the time window to treatment and, thus, make patients more amenable to ET. Additionally, modifying stroke-screening tools to make them more accessible to first responders and the creation of stroke registries can provide further opportunities for ET.

Original languageEnglish (US)
Article numberE7
JournalNeurosurgical focus
Volume42
Issue number4
DOIs
StatePublished - Apr 1 2017

All Science Journal Classification (ASJC) codes

  • Surgery
  • Clinical Neurology

Keywords

  • Acute stroke
  • EMS
  • Emergent large vessel occlusion
  • Endovascular treatment
  • Mechanical thrombectomy
  • Mobile stroke unit
  • Prehospital stroke scale
  • Telestroke

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