4.5 Review

An update on hyper-acute management of ischaemic stroke

Journal

CLINICAL MEDICINE
Volume 21, Issue 3, Pages 215-221

Publisher

ROY COLL PHYS LONDON EDITORIAL OFFICE
DOI: 10.7861/clinmed.2020-0998

Keywords

management; ischaemic stroke; thrombolysis; thrombectomy

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This article provides a comprehensive overview of key advances in the hyper-acute management of acute ischaemic stroke, including neuroimaging, acute stroke unit care, blood pressure management, and reperfusion therapy. The challenge now is to ensure the delivery and implementation of these evidence-based treatments to maximize benefits across the population.
This article aims to provide a comprehensive overview of key advances on various aspects of hyper-acute management of acute ischaemic stroke. These include neuroimaging, acute stroke unit care, management of blood pressure, reperfusion therapy including intravenous thrombolysis, mechanical thrombectomy and decompressive hemicraniectomy for malignant stroke syndrome. The challenge ahead is to ensure these evidence-based treatments are now being delivered and implemented to maximise the benefits across the population.

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