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급성허혈뇌졸중에서 혈관내재개통치료 진료지침 개정

Other Titles
 Update of the Korean Clinical Practice Guidelines for Endovascular Recanalization Therapy in Patients with Acute Ischemic Stroke 
Authors
 홍근식  ;  고상배  ;  유경호  ;  정철규  ;  박석규  ;  김병문  ;  장철훈  ;  배희준  ;  허지회  ;  오창완  ;  이병철  ;  김범태  ;  김범수  ;  정진상  ;  윤병우  ;  나정호 
Citation
 Journal of the Korean Neurological Association, Vol.34(4) : 297-313, 2016 
Journal Title
 Journal of the Korean Neurological Association 
ISSN
 1738-1428 
Issue Date
2016
Keywords
Guidelines ; Acute ischemic stroke ; Large cerebral artery occlusion ; Thrombolysis ; Reperfusion ; Endovascular recanalization therapy
Abstract
Patients with severe stroke due to acute large cerebral artery occlusion are likely to be severely disabled or die if reperfusion is not achieved in a timely manner. Intravenous tissue plasminogen activator (IV-TPA) administered within 4.5 hours after stroke onset was previously 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 that enables faster and more successful recanalization, recent randomized trials consecutively and consistently demonstrated the benefit of adding endovascular recanalization therapy (ERT) to IV-TPA. Accordingly, to update the recommendations, we assembled members of a writing committee appointed by the Korean Stroke Society, the Korean Society of Interventional Neuroradiology, and the Society of Korean Endovascular Neurosurgeons. The writing committee revised recommendations based on a review of the accumulated evidence, and a formal consensus was achieved by convening a panel of 34 experts from the participating academic societies. The current guideline provides 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:
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DOI
10.17340/jkna.2016.4.3
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/22282913/152781
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