부산대학교 도서관

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.