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2019 Update of the Korean Clinical Practice Guidelines of Stroke for Endovascular Recanalization Therapy in Patients with Acute Ischemic Stroke

Authors
 Sang-Bae Ko  ;  Hong-Kyun Park  ;  Byung Moon Kim  ;  Ji Hoe Heo  ;  Joung-Ho Rha  ;  Sun U. Kwon  ;  Jong S. Kim  ;  Byung-Chul Lee  ;  Sang Hyun Suh  ;  Cheolkyu Jung  ;  Hae Woong Jeong  ;  Dong-Hun Kang  ;  Hee-Joon Bae  ;  Byung-Woo Yoon  ;  Keun-Sik Hong 
Citation
 JOURNAL OF STROKE, Vol.21(2) : 231-240, 2019 
Journal Title
 JOURNAL OF STROKE 
ISSN
 2287-6391 
Issue Date
2019
Keywords
Cerebral infarction ; Guideline ; Large cerebral artery occlusion ; Mechanical thrombolysis ; Reperfusion
Abstract
Endovascular recanalization therapy (ERT) has been a standard of care for patients with acute ischemic stroke due to large artery occlusion (LAO) within 6 hours after onset, since five landmark ERT trials conducted by 2015 demonstrated its clinical benefit. Recently, two randomized clinical trials demonstrated that ERT, even in the late time window of up to 16 hours or 24 hours after last known normal time, improved the outcome of patients who had a target mismatch, defined as either clinical-core mismatch or perfusion-core mismatch, which prompted the update of national guidelines in several countries. Accordingly, to provide evidence-based and up-to-date recommendations for ERT in patients with acute LAO in Korea, the Clinical Practice Guidelines Committee of the Korean Stroke Society decided to revise the previous Korean Clinical Practice Guidelines of Stroke for ERT. For this update, the members of the writing group were appointed by the Korean Stroke Society and the Korean Society of Interventional Neuroradiology. After thoroughly reviewing the updated evidence from two recent trials and relevant literature, the writing members revised recommendations, for which formal consensus was achieved by convening an expert panel composed of 45 experts from the participating academic societies. The current guidelines are intended to help healthcare providers, patients, and their caregivers make well-informed decisions and to improve the quality of care regarding ERT. The ultimate decision for ERT in a particular patient must be made in light of circumstances specific to that patient.
Files in This Item:
T201901954.pdf Download
DOI
10.5853/jos.2019.00024
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
Kim, Byung Moon(김병문) ORCID logo https://orcid.org/0000-0001-8593-6841
Suh, Sang Hyun(서상현) ORCID logo https://orcid.org/0000-0002-7098-4901
Heo, Ji Hoe(허지회) ORCID logo https://orcid.org/0000-0001-9898-3321
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/170238
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