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Update of the Korean Clinical Practice Guidelines for Endovascular Recanalization Therapy in Patients with Acute Ischemic Stroke

Authors
 Keun-Sik Hong  ;  Sang-Bae Ko  ;  Kyung-Ho Yu  ;  Cheolkyu Jung  ;  Sukh Que Park  ;  Byung Moon Kim  ;  Chul-Hoon Chang  ;  Hee-Joon Bae  ;  Ji Hoe Heo  ;  Chang Wan Oh  ;  Byung-Chul Lee  ;  Bum-Tae Kim  ;  Bum-soo Kim  ;  Chin-Sang Chung  ;  Byung-Woo Yoon  ;  Joung-Ho Rha 
Citation
 Journal of Stroke, Vol.18(1) : 102-113, 2016 
Journal Title
 Journal of Stroke 
ISSN
 2287-6391 
Issue Date
2016
Keywords
Acute ischemic stroke ; Endovascular recanalization therapy ; Guidelines ; Large cerebral artery occlusion ; Reperfusion ; Thrombolysis
Abstract
Patients with severe stroke due to acute large cerebral artery occlusion are likely to be severely disabled or dead without timely reperfusion. Previously, intravenous tissue plasminogen activator (IV-TPA) within 4.5 hours after stroke onset was the only proven therapy, but IV-TPA alone does not sufficiently improve the outcome of patients with acute large artery occlusion. With the introduction of the advanced endovascular therapy, which enables more fast and more successful recanalization, recent randomized trials consecutively and consistently demonstrated the benefit of endovascular recanalization therapy (ERT) when added to IV-TPA. Accordingly, to update the recommendations, we assembled members of the writing committee appointed by the Korean Stroke Society, the Korean Society of Interventional Neuroradiology, and the Society of Korean Endovascular Neurosurgeons. Reviewing the evidences that have been accumulated, the writing members revised recommendations, for which formal consensus was achieved by convening a panel composed of 34 experts from the participating academic societies. The current guideline provides the evidence-based recommendations for ERT in patients with acute large cerebral artery occlusion regarding patient selection, treatment modalities, neuroimaging evaluation, and system organization.
Files in This Item:
T201600516.pdf Download
DOI
10.5853/jos.2015.01655
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Neurology (신경과학교실) > 1. Journal Papers
Yonsei Authors
김병문(Kim, Byung Moon) ORCID logo https://orcid.org/0000-0001-8593-6841
허지회(Heo, Ji Hoe) ORCID logo https://orcid.org/0000-0001-9898-3321
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URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/146445
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