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Decision-making strategies for reperfusion therapies: navigating through stroke trials gaps

Despite there being a robust amount of literature and numerous randomized clinical trials regarding acute ischemic stroke treatment, the trials have not included some frequent controversial situations for which decision-making strategies are an urgent and unmet need in clinical practice. This articl...

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Autores principales: Pellegrino, Mateus Paquesse, Guerra, Felipe Borelli Del, Perissinotti, Iago Navas
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Academia Brasileira de Neurologia - ABNEURO 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9491414/
https://www.ncbi.nlm.nih.gov/pubmed/35976313
http://dx.doi.org/10.1590/0004-282X-ANP-2022-S123
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author Pellegrino, Mateus Paquesse
Guerra, Felipe Borelli Del
Perissinotti, Iago Navas
author_facet Pellegrino, Mateus Paquesse
Guerra, Felipe Borelli Del
Perissinotti, Iago Navas
author_sort Pellegrino, Mateus Paquesse
collection PubMed
description Despite there being a robust amount of literature and numerous randomized clinical trials regarding acute ischemic stroke treatment, the trials have not included some frequent controversial situations for which decision-making strategies are an urgent and unmet need in clinical practice. This article tries to summarize the current evidence about some selected situations (mechanical thrombectomy in low ASPECTS, low NIHSS with proximal occlusion, acute basilar occlusion, distal and medium vessel occlusion, among others), make suggestions on how to approach them in clinical practice and show what to expect in acute stroke research in the near future.
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spelling pubmed-94914142022-12-08 Decision-making strategies for reperfusion therapies: navigating through stroke trials gaps Pellegrino, Mateus Paquesse Guerra, Felipe Borelli Del Perissinotti, Iago Navas Arq Neuropsiquiatr Cerebrovascular Disease Despite there being a robust amount of literature and numerous randomized clinical trials regarding acute ischemic stroke treatment, the trials have not included some frequent controversial situations for which decision-making strategies are an urgent and unmet need in clinical practice. This article tries to summarize the current evidence about some selected situations (mechanical thrombectomy in low ASPECTS, low NIHSS with proximal occlusion, acute basilar occlusion, distal and medium vessel occlusion, among others), make suggestions on how to approach them in clinical practice and show what to expect in acute stroke research in the near future. Academia Brasileira de Neurologia - ABNEURO 2022-08-12 /pmc/articles/PMC9491414/ /pubmed/35976313 http://dx.doi.org/10.1590/0004-282X-ANP-2022-S123 Text en https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License
spellingShingle Cerebrovascular Disease
Pellegrino, Mateus Paquesse
Guerra, Felipe Borelli Del
Perissinotti, Iago Navas
Decision-making strategies for reperfusion therapies: navigating through stroke trials gaps
title Decision-making strategies for reperfusion therapies: navigating through stroke trials gaps
title_full Decision-making strategies for reperfusion therapies: navigating through stroke trials gaps
title_fullStr Decision-making strategies for reperfusion therapies: navigating through stroke trials gaps
title_full_unstemmed Decision-making strategies for reperfusion therapies: navigating through stroke trials gaps
title_short Decision-making strategies for reperfusion therapies: navigating through stroke trials gaps
title_sort decision-making strategies for reperfusion therapies: navigating through stroke trials gaps
topic Cerebrovascular Disease
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9491414/
https://www.ncbi.nlm.nih.gov/pubmed/35976313
http://dx.doi.org/10.1590/0004-282X-ANP-2022-S123
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