2024 AANS Neurosurgical Topics for APPs - On-Demand-Breaking Boundaries in Stroke Care: Highlights from ISC 2024 and ESOC 2024

Breaking Boundaries in Stroke Care: Highlights from ISC 2024 and ESOC 2024 - Karen Greenberg

Video Transcription

Video Summary

The presentation at the American Association of Neurologic Surgeons focused on recent advances in stroke care. Key points included findings from the International Stroke Conference and the European Stroke Organization Conference. The presentation advocated for a new protocol in handling intracerebral hemorrhage—emphasizing timely intervention akin to ischemic strokes. It highlighted the importance of early anticoagulation reversal, blood pressure management, and neurosurgery consultations.<br /><br />The Zodiac trial's findings recommended laying ischemic stroke patients flat before thrombectomy to improve outcomes. The interaction with EMS and emphasizing in-hospital blood pressure control were other focal points. Extended treatment windows for thrombolytics and successes with endovascular therapies were also discussed. The presenter underscored a shift from time-based to tissue-based intervention criteria, challenging traditional views on treatment windows and interventions, such as decompressive craniectomy. The goal is to enhance survival outcomes and reduce long-term disabilities.

Keywords

stroke care

intracerebral hemorrhage

thrombectomy

endovascular therapies

anticoagulation reversal

tissue-based intervention