• Ann Emerg Med · Feb 2017

    Review

    The Advanced Reperfusion Era: Implications for Emergency Systems of Ischemic Stroke Care.

    • Joseph B Miller, Lisa H Merck, Charles R Wira, William J Meurer, Jon W Schrock, Jason T Nomura, Matthew S Siket, Tracy E Madsen, David W Wright, Peter D Panagos, and Christopher Lewandowski.
    • Department of Emergency Medicine, Henry Ford Hospital and Wayne State University, Detroit, MI; Department of Internal Medicine, Henry Ford Hospital and Wayne State University, Detroit, MI. Electronic address: jmiller6@hfhs.org.
    • Ann Emerg Med. 2017 Feb 1; 69 (2): 192-201.

    AbstractLarge vessel ischemic stroke is a leading cause of morbidity and mortality throughout the world. Recent advances in endovascular stroke treatment are changing the treatment paradigm for these patients. This concepts article summarizes the time-dependent nature of stroke care and evaluates the recent advancements in endovascular treatment. These advancements have significant implications for out-of-hospital, hospital, and regional systems of stroke care. Emergency medicine clinicians have a central role in implementing these systems that will ensure timely treatment of patients and selection of those who may benefit from endovascular care.Copyright © 2016 American College of Emergency Physicians. Published by Elsevier Inc. All rights reserved.

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