علاج السكتة الدماغية الإقفارية الحادة الناجمة عن انسداد الأوعية الكبيرة القريبة في الدورة الدموية الأمامية (ICA أو M1)

References

DOI: 10.1161/STR.0000000000000513

1. In patients with AIS from anterior circulation proximal LVO of the ICA or M1, presenting within 6 hours from onset of symptoms, with NIHSS score ≥6, prestroke mRS score of 0 to 1, and ASPECTS 3 to 10, EVT is recommended to improve functional clinical outcomes and reduce mortality.
2. In patients with AIS from anterior circulation proximal LVO of the ICA or M1 presenting between 6 and 24 hours from onset of symptoms, with NIHSS score ≥6, prestroke mRS score 0 to 1 and ASPECTS ≥6, EVT is recommended to improve functional clinical outcomes and reduce mortality.
3. In patients with AIS due to an LVO, EVT with stent retrievers, contact aspiration, or combination techniques is recommended to achieve rapid and adequate reperfusion.
4. In patients with AIS undergoing EVT, reperfusion to an extended TICI grade 2b/2c/3 is recommended as early as possible within the therapeutic window to achieve maximum functional benefit at 90 days.
5. In patients with AIS undergoing EVT, either general anesthesia or procedural sedation are recommended to facilitate EVT.