This focused book deals clearly and concisely with the principlesof management of patients with acute ischemic stroke (AIS). Itemphasizes the published and verifiable evidence in support ofthese principles, and highlights the areas of limited evidence.Best evidence is provided for the current standard treatment ofacute ischemic stroke, including intravenous chemical thrombolysis, intra-arterial approaches, blood pressure management, andanti-thrombotic therapy. More modern techniques are also described, such as the use of mechanical devices to evacuate a thrombus, induced hypertension, hyper-oxygenation (hyperoxia), andneuroprotective or neuroregeneration agents. Hallmark featuresinclude:
* Focused on acute ischemic stroke, the most rapidly growing areaof stroke management
* Evidence based: Provides best evidence for treatment
* Clearly discusses areas and topics where best evidence has notyet been established
* Lays out treatment plans and protocols in handbook fashion forease of use and reference, even in emergency situations
* Includes latest and cutting-edge techniques and equipment fordealing with AIS
Acute Ischemic Stroke: An Evidence-based Approach is anindispensable reference work for neurologists, neurocritical caremedics, intensivists, hospitalists, emergency room physicians, neurology residents and fellows. It is also a helpful resource formedical students, physician assistants, and nurse practitioners inhospital and neurocritical care facilities.
Tabella dei contenuti
Preface vii
Contributors ix
1. Stroke: Historical Perspectives and Future Directions 1
Magdy Selim, MD, Ph D
2. Neuroimaging of the Acute Stroke Patient 3
William A. Copen, MD, and Michael H. Lev, MD
3. Intravenous Thrombolysis 39
Sherry H.-Y. Chou, MD, and Eric E. Smith, MD, MPH, FRCPC
4. Endovascular Approaches to Acute Stroke 63
Raul G. Nogueira, MD, Guilherme C. Dabus, MD, Joshua A. Hirsch, MD, and Lee H. Schwamm, MD
5. Nonthrombolytic Acute Stroke Therapies 97
Aneesh B. Singhal, MD, Larami Mac Kenzie, MD, and Joshua M. Levine, MD
6. Surgical Management of Acute Stroke Patients 123
Alim P. Mitha, MD, Carlos E. Sanchez, MD, and Christopher S. Ogilvy, MD
7. Antithrombotic Therapy for Acute Stroke 137
Orla Sheehan, MD, BAO, BCh, MRCPI, and Peter Kelly, MD, MS, FRCPI
8. Intensive Care Management of Acute Ischemic Stroke 163
Kevin N. Sheth, MD, and David M. Greer, MD, MA
9. Evaluation of Acute Stroke Etiologies 197
Karen L. Furie, MD, MPH, Michael H. Lev, MD, Walter J. Koroshetz, MD, and David M. Greer, MD, MA
10. Tele Stroke: Application of Telemedicine in Acute Ischemic Stroke 213
Eric S. Rosenthal, MD, and Lee H. Schwamm, MD
Index 233
Circa l’autore
David Matthew Greer, MD, is Assistant Professor of Neurology in the Massachusetts General Hospital and Harvard University. He is attending neurologist at both Mass General and Brigham & Women’s Hospital in Boston.
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