AVC - ACV - ICT

Effect of Endovascular Treatment Alone vs Intravenous Alteplase Plus Endovascular Treatment on Functional Independence in Patients With Acute Ischemic Stroke: The DEVT Randomized Clinical Trial. Zi W, Qiu Z, Li F, et al. JAMA. 2021;325(3):234–243. doi:10.1001/jama.2020.23523

Guidelines for the Early Management of Patients With Acute Ischemic Stroke: 2019 Update to the 2018 Guidelines for the Early Management of Acute Ischemic Stroke A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association, Stroke; a Journal of Cerebral Circulation 2019 October 30, : STR0000000000000211

RECOMMANDATIONS CANADIENNES POUR LES PRATIQUES OPTIMALES DE SOINS DE L’AVC: PRISE EN CHARGE DE L’AVC EN PHASE AIGUË : PRISE EN CHARGE DE L’AVC EN PHASE AIGUË EN MILIEU PREHOSPITALIER, AU SERVICE DES URGENCES ET CHEZ LE PATIENT HOSPITALISE, Mise à jour 2018

TABLEAU 2A : Résumé des niveaux de risque d’AVC récidivant et prise en charge initiale selon les Recommandations canadiennes pour les pratiques optimales de l’AVC

RECOMMANDATIONS CANADIENNES POUR LES PRATIQUES OPTIMALES DE SOINS DE L’AVC PRISE EN CHARGE DE L’HÉMORRAGIE INTRACÉRÉBRALE SPONTANÉE, Septième édition, Fondation des maladies du cœur et de l’AVC du Canada, Octobre 2020

RECOMMANDATIONS CANADIENNES POUR LES PRATIQUES OPTIMALES DE SOINS DE L’AVC: Accident vasculaire cérébral pendant la grossesse, Juillet 2018

Endovascular Therapy for Stroke Due to Basilar-Artery Occlusion. Langezaal LCM, van der Hoeven EJRJ, Mont'Alverne FJA, de Carvalho JJF, Lima FO, Dippel DWJ, van der Lugt A, Lo RTH, Boiten J, Lycklama À Nijeholt GJ, Staals J, van Zwam WH, Nederkoorn PJ, Majoie CBLM, Gerber JC, Mazighi M, Piotin M, Zini A, Vallone S, Hofmeijer J, Martins SO, Nolte CH, Szabo K, Dias FA, Abud DG, Wermer MJH, Remmers MJM, Schneider H, Rueckert CM, de Laat KF, Yoo AJ, van Doormaal PJ, van Es ACGM, Emmer BJ, Michel P, Puetz V, Audebert HJ, Pontes-Neto OM, Vos JA, Kappelle LJ, Algra A, Schonewille WJ; BASICS Study Group. N Engl J Med. 2021 May 20;384(20):1910-1920. doi: 10.1056/NEJMoa2030297. PMID: 34010530.

Prospective validation of Canadian TIA Score and comparison with ABCD2 and ABCD2i for subsequent stroke risk after transient ischaemic attack: multicentre prospective cohort study, Perry Jeffrey J, Sivilotti Marco L A, Émond Marcel, Stiell Ian G, Stotts Grant, Lee Jacques et al. BMJ 2021; 372 :n49

Evaluation of unknown Onset Stroke thrombolysis trials (EOS) investigators. Intravenous alteplase for stroke with unknown time of onset guided by advanced imaging: systematic review and meta-analysis of individual patient data. Thomalla G, Boutitie F, Ma H, Koga M, Ringleb P, Schwamm LH, Wu O, Bendszus M, Bladin CF, Campbell BCV, Cheng B, Churilov L, Ebinger M, Endres M, Fiebach JB, Fukuda-Doi M, Inoue M, Kleinig TJ, Latour LL, Lemmens R, Levi CR, Leys D, Miwa K, Molina CA, Muir KW, Nighoghossian N, Parsons MW, Pedraza S, Schellinger PD, Schwab S, Simonsen CZ, Song SS, Thijs V, Toni D, Hsu CY, Wahlgren N, Yamamoto H, Yassi N, Yoshimura S, Warach S, Hacke W, Toyoda K, Donnan GA, Davis SM, Gerloff C; Lancet. 2020 Nov 14;396(10262):1574-1584. doi: 10.1016/S0140-6736(20)32163-2. Epub 2020 Nov 8. PMID: 33176180; PMCID: PMC7734592.

How should we treat patients who wake up with a stroke? A review of recent advances in management of acute ischemic stroke, D Biggs, M E Silverman, F Chen, B Walsh, P Wynne, American Journal of Emergency Medicine 2019 February 21

Guidelines for the Prevention of Stroke in Patients With Stroke and Transient Ischemic Attack, A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association, Stroke July 2014

Thrombectomy for Stroke at 6 to 16 Hours with Selection by Perfusion Imaging, N Engl J Med. 2018 Feb 22;378(8):708-718. doi: 10.1056/NEJMoa1713973. Epub 2018 Jan 24.

CONCLUSIONS: Endovascular thrombectomy for ischemic stroke 6 to 16 hours after a patient was last known to be well plus standard medical therapy resulted in better functional outcomes than standard medical therapy alone among patients with proximal middle-cerebral-artery or internal-carotid-artery occlusion and a region of tissue that was ischemic but not yet infarcted. (Funded by the National Institute of Neurological Disorders and Stroke; DEFUSE 3 ClinicalTrials.gov number, NCT02586415 .).

The VITAL study and overall pooled analysis with the VIPS non-invasive stroke detection device, Kellner CP, Sauvageau E, Snyder KV, et al, Journal of NeuroInterventional Surgery Published Online First: 06 March 2018. doi: 10.1136/neurintsurg-2017-013690

HSF - Stroke Assessment Pocket Guide

Calculateur NIH Stroke Scale en Français

Comment évaluer la force musculaire, Merck Manual : échelle 0 à 5

Hypertension AVC hémorragique

Outcomes of Intensive Systolic Blood Pressure Reduction in Patients With Intracerebral Hemorrhage and Excessively High Initial Systolic Blood Pressure: Post Hoc Analysis of a Randomized Clinical Trial. Qureshi AI, Huang W, Lobanova I, Barsan WG, Hanley DF, Hsu CY, Lin CL, Silbergleit R, Steiner T, Suarez JI, Toyoda K, Yamamoto H; for ATACH-II trial investigators. JAMA Neurol. 2020 Sep 8;77(11):1–11. doi: 10.1001/jamaneurol.2020.3075. Epub ahead of print. PMID: 32897310; PMCID: PMC7489424.

Plavix

Clopidogrel plus aspirin versus aspirin alone for acute minor ischaemic stroke or high risk transient ischaemic attack: systematic review and meta-analysis. Hao Q, Tampi M, O'Donnell M, Foroutan F, Siemieniuk RA, Guyatt G. BMJ. 2018 Dec 18;363:k5108. doi: 10.1136/bmj.k5108.

CONCLUSIONS: Dual antiplatelet therapy with clopidogrel and aspirin given within 24 hours after high risk TIA or minor ischaemic stroke reduces subsequent stroke by about 20 in 1000 population, with a possible increase in moderate to severe bleeding of 2 per 1000 population. Discontinuation of dual antiplatelet therapy within 21 days, and possibly as early as 10 days, of initiation is likely to maximise benefit and minimise harms.