Radiologie (Heidelberg, Germany) · 2025
[Recent clinical studies and the S3 guidelines on stroke].
Аннотация на английскомСтатьяОбзорНазвание и аннотация: Перевод в очереди
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Reith Wolfgang, Bachhuber Armin
Аннотация
BACKGROUND: Treatment of patients with acute stroke requires hospitalization. Cooperation of neurologists, neuroradiologists, intensive care physicians, internists, and cardiologists is required to achieve best possible outcome.
OBJECTIVE: A summary of the current recommendations for stroke treatment is provided.
METHODS: This update is based on the S3 guidelines and incorporates additional results of the latest clinical studies; pubmed.gov was used as the database.
RESULTS: Computed tomography (CT) or magnetic resonance imaging (MRI) are essential to differentiate between ischemic and hemorrhagic stroke. The S3 guideline recommends thrombolysis within 4.5 h after the onset of symptoms, while mechanical thrombectomy for large vessel occlusions may be indicated up to 24 h after stroke onset in certain cases. Therapy should be initiated for an internal carotid artery (ICA) stenosis of at least 50%.
CONCLUSION: Thrombolysis, mechanical thrombectomy, and the treatment of ICA stenosis are the three cornerstones of acute stroke treatment.
OBJECTIVE: A summary of the current recommendations for stroke treatment is provided.
METHODS: This update is based on the S3 guidelines and incorporates additional results of the latest clinical studies; pubmed.gov was used as the database.
RESULTS: Computed tomography (CT) or magnetic resonance imaging (MRI) are essential to differentiate between ischemic and hemorrhagic stroke. The S3 guideline recommends thrombolysis within 4.5 h after the onset of symptoms, while mechanical thrombectomy for large vessel occlusions may be indicated up to 24 h after stroke onset in certain cases. Therapy should be initiated for an internal carotid artery (ICA) stenosis of at least 50%.
CONCLUSION: Thrombolysis, mechanical thrombectomy, and the treatment of ICA stenosis are the three cornerstones of acute stroke treatment.