Article ; Online: Now that the door is open: an update on ischemic stroke pharmacotherapeutics for the neurointerventionalist.
Journal of neurointerventional surgery
2024 Volume 16, Issue 4, Page(s) 425–428
Abstract: The last 10 years have seen a major shift in management of large vessel ischemic stroke with changes towards ever-expanding use of reperfusion therapies (intravenous thrombolysis and mechanical thrombectomy). These strategies 'open the door' to acute ... ...
Abstract | The last 10 years have seen a major shift in management of large vessel ischemic stroke with changes towards ever-expanding use of reperfusion therapies (intravenous thrombolysis and mechanical thrombectomy). These strategies 'open the door' to acute therapeutics for ischemic tissue, and we should investigate novel therapeutic approaches to enhance survival of recently reperfused brain. Key insights into new approaches have been provided through translational research models and preclinical paradigms, and through detailed research on ischemic mechanisms. Additional recent clinical trials offer exciting salvos into this new strategy of pairing reperfusion with neuroprotective therapy. This pairing strategy can be employed using drugs that have shown neuroprotective efficacy; neurointerventionalists can administer these during or immediately after reperfusion therapy. This represents a crucial moment when we emphasize reperfusion, and have the technological capability along with the clinical trial experience to lead the way in multiprong approaches to stroke treatment. |
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MeSH term(s) | Humans ; Ischemic Stroke/drug therapy ; Brain Ischemia/drug therapy ; Stroke/drug therapy ; Thrombolytic Therapy ; Thrombectomy ; Treatment Outcome ; Fibrinolytic Agents/therapeutic use |
Chemical Substances | Fibrinolytic Agents |
Language | English |
Publishing date | 2024-03-14 |
Publishing country | England |
Document type | Journal Article ; Review |
ZDB-ID | 2514982-9 |
ISSN | 1759-8486 ; 1759-8478 |
ISSN (online) | 1759-8486 |
ISSN | 1759-8478 |
DOI | 10.1136/jnis-2022-019293 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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