Interventional Cardiology and Acute Stroke Care Going Forward: JACC Review Topic of the Week

David R Holmes Jr; L Nelson Hopkins

doi:10.1016/j.jacc.2019.01.033

Interventional Cardiology and Acute Stroke Care Going Forward: JACC Review Topic of the Week

J Am Coll Cardiol. 2019 Apr 2;73(12):1483-1490. doi: 10.1016/j.jacc.2019.01.033.

Authors

David R Holmes Jr¹, L Nelson Hopkins²

Affiliations

¹ Department of Cardiovascular Diseases, Mayo Clinic, Rochester, Minnesota.
² Department of Neurosurgery, Jacobs School of Medicine and Biomedical Sciences, Canon Stroke and Vascular Research Center, University at Buffalo, Buffalo, New York; Department of Neurosurgery, Gates Vascular Institute at Kaleida Health, Buffalo, New York; Jacobs Institute, Buffalo, New York. Electronic address: lnhopkins@icloud.com.

PMID: 30922479
DOI: 10.1016/j.jacc.2019.01.033

Abstract

Stroke is a catastrophic event for patients and their families. Given the frequency of approximately 750,000 events annually with their associated morbidity and mortality, stroke has assumed increasing importance. Scientific study has identified several diseases categorized under the broad term of "stroke" that form the rationale for current treatment strategies. This paper reviews new information, especially on ischemic stroke (particularly large-vessel occlusions), which identifies the potential for new approaches that can dramatically improve outcome but will require the need to enhance and embrace the care team required to deliver optimal care and address current unmet clinical needs.

Keywords: acute ischemic stroke; interventional cardiology; interventional workforce; stroke team.

Publication types

Review

MeSH terms

Brain Ischemia* / complications
Brain Ischemia* / therapy
Cardiology / methods*
Critical Pathways / trends
Humans
Neurology / methods
Patient Care Team / organization & administration*
Stroke* / etiology
Stroke* / therapy