학술논문
2023台灣腦中風學會急性缺血中風動脈內血栓移除治療指引更新 / 2023 Update to the Taiwan Stroke Society Guidelines for Endovascular Thrombectomy in Acute Ischemic Stroke Patients
Document Type
Article
Author
林浚仁 / Chun-Jen Lin; 紀乃方 / Na-Fang Chi; 陳仕軒 / Shih-Hsuan Chen; 黃虹瑜 / Hung-Yu Huang; 劉虹余 / Hung-Yu Liu; 郭怡敏 / Yi-Min Kuo; 劉濟弘 / Chi-Hung Liu; 湯頌君 / Sung-Chun Tang; 陳龍 / Lung Chan; 張豐基 / Feng-Chi Chang; 賴彥君 / Yen-Jun Lai; 崔源生 / Yuan-Shen Tsui; 蔡力凱 / Li-Kai Tsai; 連立明 / Li-Ming Lien; 李怡慧 / I-Hui Lee; 急性缺血中風動脈內血栓移除治療指引共識小組 / Taiwan Stroke Society Guideline Consensus Group
Source
台灣中風醫誌 / Formosan Stroke Journal. Vol. 5 Issue 3, p151-172. 22 p.
Subject
Language
繁體中文
英文
英文
ISSN
2664-1976
Abstract
Endovascular thrombectomy (EVT) is a standard treatment for acute ischemic stroke with large vessel occlusion. American Herat Association/American Stroke Association and Taiwan Stroke Society published the 2019 guidelines of EVT management for acute ischemic stroke patients, which provided evidence-based recommendations for clinical physicians. Recently, a growing number of studies have investigated treatment dilemmas in EVT for patients with late-presenting stroke 6-24 hours from onset, large infarct cores 50-100 ml, and posterior circulation stroke. However, the recommendations for these issues have not been updated yet after 2019. Therefore, Taiwan Stroke Society and Taiwan Society for Neurovascular and Interventional Surgery organized the guideline consensus group to focus on the updated EVT guidelines on the aforementioned progress. The guidelines cover five sections, including (1) imaging examination before EVT, (2) intravenous thrombolysis in the era of EVT, (3) EVT for anterior circulation stroke in 6-24 hours from onset, (4) EVT for posterior circulation stroke, (5) anesthesia and sedation for EVT. The guideline consensus group developed recommendations via consensus meetings based on reviewed evidences. Each proposed class of recommendation and level of evidence was approved by the group members. The guideline was reviewed by the Society's committee experts, providing the Taiwan National Health Insurance Agency with evidence to extend the EVT reimbursement within 24 hours of stroke and benefit more acute ischemic stroke patients with appropriate reperfusion therapy.