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Mechanical thrombectomy in acute ischemic stroke: Consensus statement by ESO-Karolinska Stroke Update 2014/2015, supported by ESO, ESMINT, ESNR and EAN

Journal article
Authors N. Wahlgren
T. Moreira
P. Michel
T. Steiner
O. Jansen
C. Cognard
H. P. Mattle
W. van Zwam
S. Holmin
Turgut Tatlisumak
J. Petersson
V. Caso
W. Hacke
M. Mazighi
M. Arnold
U. Fischer
I. Szikora
L. Pierot
J. Fiehler
J. Gralla
F. Fazekas
K. R. Lees
Published in International Journal of Stroke
Volume 11
Issue 1
Pages 134-147
ISSN 1747-4930
Publication year 2016
Published at Institute of Neuroscience and Physiology
Pages 134-147
Language en
Links dx.doi.org/10.1177/1747493015609778
Keywords Recommendations, Consensus statement, acute stroke therapy, mechanical thrombectomy, basilar artery-occlusion, intravenous t-pa, endovascular treatment, intraarterial treatment, international-cooperation, angiographic, reperfusion, anesthetic management, conscious sedation, general-anesthesia, stent retrievers, Cardiovascular System & Cardiology
Subject categories Cardiovascular medicine

Abstract

The original version of this consensus statement on mechanical thrombectomy was approved at the European Stroke Organisation (ESO)-Karolinska Stroke Update conference in Stockholm, 16-18 November 2014. The statement has later, during 2015, been updated with new clinical trials data in accordance with a decision made at the conference. Revisions have been made at a face-to-face meeting during the ESO Winter School in Berne in February, through email exchanges and the final version has then been approved by each society. The recommendations are identical to the original version with evidence level upgraded by 20 February 2015 and confirmed by 15 May 2015. The purpose of the ESO-Karolinska Stroke Update meetings is to provide updates on recent stroke therapy research and to discuss how the results may be implemented into clinical routine. Selected topics are discussed at consensus sessions, for which a consensus statement is prepared and discussed by the participants at the meeting. The statements are advisory to the ESO guidelines committee. This consensus statement includes recommendations on mechanical thrombectomy after acute stroke. The statement is supported by ESO, European Society of Minimally Invasive Neurological Therapy (ESMINT), European Society of Neuroradiology (ESNR), and European Academy of Neurology (EAN).

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