Inventory: 2020~2021 Domestic and International Stroke Guidelines and Consensus Collection World Stroke Day

October 29, 2021 is the 16th World Stroke Day.
The propaganda theme of the National Health Commission’s Brain Defense Commission this year is "Be alert to stroke symptoms, identify and treat as soon as possible", and the slogan is "Identify stroke one second earlier, save the brain and recover well"
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From 2020 to 2021, a number of stroke guidelines have been issued at home and abroad.
Yimaitong is summarized below for your reference
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Yimaitong compiles and organizes, please do not reprint without authorization
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Domestic Guide 01 Expert consensus on the prevention and treatment of cognitive impairment after stroke in China The Chinese Stroke Society held the third national meeting of the China Cerebrovascular Disease Roundtable (Special topic on Vascular Cognitive Impairment) on May 4, 2019 in Hangzhou
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This roundtable meeting of the Chinese Stroke Society convened colleagues who are engaged in stroke and cognitive impairment to discuss the epidemiology, mechanism, diagnostic criteria, biomarkers, prevention and control of post-stroke cognitive impairment (PSCI) in China.
The future exploration of treatment and other aspects will focus on discussions, and promote the realization of the goal of preventable and curable PSCI
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Experts from all over the country jointly discussed the research framework of China's PSCI preventable and curable strategic goals, and formed this expert consensus
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cn/guideline/20125 Article link: Chinese experts consensus on the prevention and treatment of cognitive impairment after stroke is released! 02 The clinical application of Vinpocetine injection in ischemic cerebrovascular disease Expert consensus Vinpocetine injection has been used in clinical practice for more than 40 years, and it has a good effect of single drug or combination therapy
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The drug has a protective effect on vascular smooth muscle cells, vascular endothelial cells and the blood-brain barrier
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Clinical and laboratory studies after the market in China have shown that Vinpocetine injection has a good preventive effect on cerebrovascular disease, and it is one of the widely used drugs for the treatment of cerebrovascular disease
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How to use the drug in these patients with cerebrovascular disease more scientifically and reasonably? The Vinpocetine Injection Standardization Therapy Expert Group wrote an expert consensus on the clinical application of vinpocetine injection in ischemic cerebrovascular disease, which is only for clinical use Reference
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cn/guideline/2018903 Expert consensus on green channel management of stroke during the new coronavirus pneumonia The situation is grim
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Stroke is a disease with high morbidity, disability, and mortality.
Intravenous thrombolysis within the time window of acute ischemic stroke and interventional therapy for aortic occlusion are key treatment measures, which can significantly reduce patients The disability rate and fatality rate
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The establishment of a green channel for stroke diagnosis and treatment can effectively shorten the treatment time and strive for a good prognosis for patients
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During the new crown pneumonia epidemic, how to simultaneously take care of the green channel treatment of stroke diagnosis and treatment and the protection of medical workers and patients is the current focus and difficulty
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Expert consensus on the management of green channels for stroke diagnosis and treatment under the prevention and control of the new crown pneumonia epidemic, for reference by stroke centers
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cn/guideline/20354 Article link: Under the epidemic prevention and control, the green channel management expert consensus on stroke diagnosis and treatment is released! 04 Experts in the preoperative evaluation of non-emergency interventional therapy for ischemic cerebrovascular disease agree that endovascular intervention is an important treatment method for cerebrovascular disease
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A well-regulated and meticulous evaluation before interventional surgery is very important to ensure the safety of interventional surgery and reduce complications
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At present, there is a lack of a unified understanding of the preoperative evaluation of non-emergency interventional treatment of ischemic cerebrovascular disease in China
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To this end, the Neurovascular Intervention Cooperation Group of the Neurology Branch of the Chinese Medical Association organized some domestic cerebrovascular disease experts to discuss the above issues and reached a consensus in order to provide a reference for the preoperative evaluation of interventional therapy
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cn/guideline/20750 Article link: How to evaluate before non-emergency interventional therapy for ischemic cerebrovascular disease? The latest version of the expert consensus is here.
05 Expert consensus on standardized management of stroke nutrition in China At present, there is still a lack of relevant guidelines or expert consensus on standardized management of nutrition after stroke in the world
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In this context, the Chinese Stroke Society organizes experts in related fields to systematically evaluate international related research results on the standardized management of post-stroke nutrition, and write the "Expert Consensus on Standardized Management of Stroke Nutrition in China" (referred to as the Expert Consensus), with a view to improving The level, effect and efficiency of nutritional management after stroke provide evidence-based medicine
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cn/guideline/20995 Article link: Seven questions to clarify the nutritional management of stroke patients 06 Hypertensive Cerebral Hemorrhage Chinese Multidisciplinary Diagnosis and Treatment Guidelines Hypertensive Cerebral Hemorrhage (HICH) Guidelines Patients with a clear history of hypertension suddenly experience parenchymal hemorrhage in the basal nucleus, thalamus, ventricle, cerebellum, and brainstem, and exclude trauma, vascular structural abnormalities, coagulation dysfunction, blood diseases, systemic diseases, and tumors Secondary cerebral hemorrhage HICH caused by sexual diseases has the characteristics of high morbidity, high mortality, high disability, and high recurrence rate
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The prevention and treatment of HICH requires the cooperation of multiple disciplines such as emergency department, imaging department, neurology, neurosurgery, critical care medicine and rehabilitation department
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In the past five years, with the development of a large number of multidisciplinary research and the publication of new evidence-based medicine, based on China’s basic national conditions, upgrading the consensus to guidelines will help domestic medical units at all levels to make better decisions in the process of clinical practice.

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This guide mainly introduces the most common SICH in China, which is more controversial in diagnosis and treatment
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cn/guideline/21375 Article link: Chinese Multidisciplinary Diagnosis and Treatment Guide for Hypertensive Cerebral Hemorrhage is released! 07 2020 Neuroendoscopic surgical treatment of hypertensive intracerebral hemorrhage.
Chinese experts agree that the endoscope can be placed in the hematoma cavity during the endoscopic surgery of hypertensive intracerebral hemorrhage (HICH), and the surgical field can be exposed in a panoramic view to avoid Residual hematoma
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High-definition images help identify active bleeding points, help stop bleeding, and reduce the risk of secondary bleeding
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The advantages of neuroendoscopic surgery for HICH have been recognized by more and more neurosurgeons
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With the continuous promotion, application and popularization of neuroendoscopic surgery technology, it is necessary to reach a consensus on the technical characteristics and treatment process of neuroendoscopic treatment of HICH in order to standardize the indications, surgical strategies and technical characteristics of neuroendoscopic surgery for HICH.
Details, promote the application of endoscopic technology in HICH, improve surgical efficacy and reduce complications
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cn/guideline/2163008 cerebrovascular disease-related normal intracranial pressure hydrocephalus Chinese expert consensus Normal pressure hydrocephulas (NPH) refers to unstable gait , Cognitive dysfunction and urinary incontinence are typical clinical manifestations.
Imaging examinations have enlarged ventricles, and a group of clinical syndromes with cerebrospinal fluid pressure within the normal range can be divided into two categories: idiopathic and secondary
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Cerebrovascular disease-related normal NPH is a special type of NPH secondary to various cerebrovascular diseases.
It is not uncommon in clinical practice.
It is often concealed by the primary disease and is not discovered by clinicians in time, leading to a poor prognosis for patients
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So far, the clinical experience of NPH related to cerebrovascular disease is relatively lacking, and the diagnosis and treatment are also lacking in standardization
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The purpose of this consensus is to provide a reference for the diagnosis and treatment of cerebrovascular disease-related NPH in neurosurgery at home and abroad
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cn/guideline/21955 Article link: How to evaluate normal intracranial pressure and hydrocephalus related to cerebrovascular disease? This expert consensus gives the answer.
09 The Chinese Expert Consensus on Diagnosis of Cardiogenic Stroke (2020) Cardiogenic Embolic Stroke (CES) refers to the passage of cardiogenic emboli from the heart and aortic arch to cause cerebral artery embolism and cause the corresponding brain Clinical syndrome of dysfunction
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Compared with ischemic stroke caused by other causes, CES has a more severe disease, worse prognosis, and higher recurrence rate
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At present, there is no unified CES diagnostic standard at home and abroad.
In order to better standardize the diagnosis and differential diagnosis of CES by clinicians, we propose and establish China's CES diagnostic standard based on clinical research at home and abroad in recent years and combined with China’s actual conditions.
The consensus of experts is to improve the correct rate of clinical diagnosis of CES, thereby promoting the prevention, control and management of CES
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cn/guideline/22487 Article link: 1 Figure 7 table, quick understanding of the diagnostic points of cardiogenic stroke 10 Patent foramen ovale related stroke prevention Chinese expert guide for patent foramen ovale (PFO) The incidence is high, and PFO is present in about one-quarter of adults
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With the publication of the results of 4 randomized controlled studies comparing transcatheter PFO closure with drug therapy, countries have successively updated PFO-related guidelines or consensus
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China’s recommendations for PFO treatment still remain on the 2017 "Chinese Expert Consensus on Preventive Oval closure of patent foramen ovale".
In view of the large population of PFO, in order to standardize the clinical application of PFO occlusion, we are learning from the latest domestic and foreign On the basis of the research, combined with the specific situation of our country, domestic experts in this field have formed the Chinese Expert Guide for the prevention of stroke related to patent foramen ovale for reference
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cn/guideline/22448 Article link: Chinese expert guide on the prevention of stroke related to patent foramen ovale is released, 3 minutes to focus on 11 Stroke condition monitoring Chinese multidisciplinary expert consensus on the identification of stroke Diagnosis and monitoring of changes in the condition is a key link in the treatment of stroke patients
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As imaging, ultrasound, electrophysiology, electrical impedance and other technologies are increasingly used in stroke monitoring, scientific understanding of the relationship between the clinical data generated by these technologies and the prognosis of stroke will help improve the level of stroke treatment
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To this end, the author puts forward consensus opinions by inquiring and evaluating existing research evidence, in order to provide guidance and reference for standardized monitoring and clinical diagnosis and treatment of stroke
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cn/guideline/22847 Article link: Stroke condition monitoring, a list of recommendations by Chinese multidisciplinary experts! 12 Early recognition and assessment of acute posterior-circulation ischemic stroke Expert consensus The rate is 18 per 100,000, which is an important cause of disability and death in stroke patients, but compared with acute anterior circulation ischemic stroke, it has not attracted enough attention and effective management
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To this end, based on the clinical characteristics of aPCI, the conditions of stroke prevention and treatment in various regions, and the relevant international research progress and guidelines, the Hubei Provincial Cerebrovascular Disease Prevention and Treatment Association organized provincial experts to formulate this consensus, which aims to help improve primary stroke prevention and treatment stations, The early recognition ability of first-class stroke center emergency workers and clinicians on aPCI can better guide clinical treatment and improve patient prognosis
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cn/guideline/23107 Article link: How to recognize and evaluate early post-acute circulation ischemic stroke, these 4 scales should be known 13 Expert consensus on management of cognitive impairment after stroke 20212017 In October, the Vascular Cognitive Impairment Branch of the Chinese Stroke Society established an expert committee to organize a number of stroke and cognitive experts to discuss and discuss, and published the first edition of the "Expert Consensus on the Management of Cognitive Impairment after Stroke"
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In order to further increase the importance of PSCI in clinical work, to more effectively guide physicians in the standardized management of PSCI, to emphasize the early screening, evaluation, prevention and rehabilitation of stroke patients, standardize the diagnosis and treatment of drugs, and comprehensively manage stroke patients, so as to improve the patient’s health.
Quality of life and prolonged survival time, the Vascular Cognitive Impairment Branch of the Chinese Stroke Society will organize a discussion with experts again in 2021.
On the basis of the previous version, new clinical practice and research evidence will be added, and standards and standards will be formulated in accordance with the guidelines of the Chinese Stroke Society.
Write specifications and publish this new expert consensus
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cn/guideline/23143 Article link: 2021 Post-stroke Cognitive Impairment Management Consensus Released, 3 minutes to highlight 14 Post-stroke respiratory system infections, airway management expert guidance, respiratory system infections (RTIs) ) Affect the sinuses, pharynx, larynx, trachea or lungs
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In recent years, research on related RTIs after stroke has mostly focused on stroke-associated pneumonia (SAP), aspiration pneumonia (AP), and mechanical ventilation complicated with ventilator-associated pneumonia (VAP)
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The concepts of RTIs after different types of stroke are not the same, but they all affect the prognosis of patients, and early standardized management is needed to reduce the infection rate and disability rate of patients
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In view of this, we have worked with multidisciplinary experts in the Department of Neurology, Respiratory Medicine, and Critical Care Medicine to jointly formulate guidelines, focusing on the management process of the entire respiratory tract after stroke, including upper and lower respiratory tract infections, and provide reference for the prevention of post-stroke RTIs Clinical practice application norms
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cn/guideline/23624 Article link: The risk factors and assessment methods of post-stroke respiratory infections are still unclear.
Experts will help you! 15 Guidelines for Primary Diagnosis and Treatment of Ischemic Stroke (2021) Guidelines for Primary Diagnosis and Treatment of Ischemic Stroke introduces the definition, classification, epidemiological trends, etiology, identification, diagnosis, treatment, referral and primary care of ischemic stroke in more detail Management, focusing on the actual needs of the primary level clinical practice, elaborated the prevention and treatment of ischemic stroke and the key points of primary level management
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cn/guideline/2420816 Acute cerebral infarction ischemic penumbra clinical evaluation and treatment The consensus of Chinese experts is under the leadership of the Neurologist Branch of the Chinese Medical Doctor Association, by the Committee of Cerebrovascular Diseases ( (Study Group) organize experts in related fields in China, after a comprehensive review of domestic and foreign literature, and after repeated discussions, the following consensus was written for reference when domestic counterparts evaluate and treat acute cerebral infarction ischemic penumbra in clinical practice
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cn/guideline/24283 Article link: Clinical evaluation and treatment of ischemic penumbra of acute cerebral infarction, a list of the latest expert consensus recommendations 17 Endovascular exclusion surgery for complex craniovascular disease experts It is agreed to use endovascular isolation technology to treat cerebral artery disease represented by complex cerebral aneurysms, and it has achieved positive results in recent years
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In view of the fact that there is no unified reference standard for the application of covered stents in craniovascular diseases at home and abroad, it is necessary to further standardize and guide its clinical application
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On this basis, this expert committee organizes authoritative experts in the field of neurointerventional therapy to write expert consensus, aiming to summarize the current clinical results of covered stents in the treatment of complex craniocerebral vascular diseases, and propose clinical reference standards suitable for the application of covered stents for clinical use Based on the content of this consensus, physicians will adopt individualized endovascular isolation treatment plans for patients with complex craniocerebral vascular disease based on specific conditions
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cn/guideline/2382518 Chinese Multidisciplinary Guidelines for Diagnosis and Treatment of Cerebral Hemorrhage Related to Coagulation Dysfunction (HDICH) refers to the use of anticoagulant or antiplatelet drugs During the period, or on the basis of coagulopathy, intraparenchymal hemorrhage occurred
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With the aging of the population and the widespread development of endovascular treatment, the use of antiplatelet and anticoagulant drugs continues to increase, and the incidence of HDICH is also rising
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It is reported in the literature that oral anticoagulant-related intracerebral hemorrhage has accounted for 25.
8% of all intracerebral hemorrhages
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Compared with pure spontaneous intracerebral hemorrhage, HDICH has a higher incidence of hematoma enlargement, a worse functional prognosis, and a higher mortality rate
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Its treatment involves the reversal and replacement of coagulation dysfunction, the restart of antiplatelet or anticoagulant drugs.
Surgical strategies and techniques also have their own particularities and require multidisciplinary collaborative diagnosis and treatment.
Therefore, domestic experts from multiple disciplines are brought together to review relevant literature at home and abroad.
Based on the joint development of this guide
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cn/guideline/23960 Foreign Guide 01 2020 SNACC Consensus Statement: Anesthesia Management for Endovascular Treatment of Acute Ischemic Stroke During the COVID-19 Epidemic April 2020, Neural Anesthesia and Severe Disease The Society of Nursing Care (SNACC) issued a consensus statement on the management of anesthesia for the endovascular treatment of acute ischemic stroke during the COVID-19 epidemic
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The epidemic of COVID-19 poses new challenges to the anesthesia management of endovascular treatment of acute ischemic stroke
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This article mainly provides guidance and recommendations for safe and effective anesthesia management for the endovascular treatment of acute ischemic stroke during the COVID-19 epidemic
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cn/guideline/2045302 2020 ASH Guide: Sickle Cell Disease-Prevention, Diagnosis and Treatment of Cerebrovascular Disease in Children and Adults April 2020, American Society of Hematology (ASH) Issued sickle cell disease—Guidelines for the prevention, diagnosis and treatment of cerebrovascular disease in children and adults.
Central nervous system complications are one of the most common and destructive sequelae of sickle cell disease.
This article focuses on sickle cell disease.
Provide guidance and advice on the prevention, diagnosis and treatment of cerebrovascular diseases in children and adult patients
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cn/guideline/2048603 2020 EAN/ERS/ESO/ESRS Statement: The impact of sleep disorders on the risk and outcome of stroke In April 2020, the European Society of Neurology (EAN) united many The society jointly issued a statement on the impact of sleep disorders on the risk and outcome of stroke
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Sleep disorders are very common in the general population and may be related to stroke
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This article mainly outlines the impact of sleep disorders on stroke risk and outcome, supports the relationship between sleep apnea syndrome and stroke, and supports active diagnosis and treatment
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cn/guideline/2051804 2020 AAN guide: Prevention of patent foramen ovale and secondary stroke In April 2020, the American Academy of Neurology (AAN) updated and released the foramen ovale Guidelines for the prevention of patents and secondary strokes.
This guide is an update of the 2016 practice recommendations for patients with AAN stroke and patent foramen ovale
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cn/guideline/2060405 2020 Asia-Pacific expert consensus: Left atrial appendage occlusion in patients with non-valvular atrial fibrillation prevents ischemic stroke.
Non-valvular patients with ischemic stroke risk in the Asia-Pacific region A consensus on the occlusion of the left atrial appendage of patients with atrial fibrillation was jointly discussed by the Asia-Pacific expert group
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The article mainly provides guidance and suggestions based on expert opinions and the latest evidence
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cn/guideline/2114906 2020 Asia-Pacific Expert Consensus: Closure of the foramen ovale in patients with patent foramen ovale in embolic stroke of undetermined origin.
Long-term randomized controlled trial released in 2020 The data provide evidence for percutaneous closure of patent foramen ovale to prevent embolic stroke of unknown origin
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This article is mainly developed by a team of experts in the Asia-Pacific region to provide guidance on the closure of foramen ovale in patients with unidentified embolic stroke
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cn/guideline/2114707 2020 HSFC Canadian stroke best practice recommendations: Spontaneous intracerebral hemorrhage (7th edition) Spontaneous intracerebral hemorrhage is a destructive type of stroke.
Compared with bloody stroke, it has higher morbidity and mortality
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The 7th edition of the Canadian stroke best practice recommendations update includes a separate unit on cerebral hemorrhage.
This article mainly provides guidance and recommendations for the management of spontaneous cerebral hemorrhage
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cn/guideline/2197208 2021 ESC/EAPCI Position Paper: Interdisciplinary Management of Acute Ischemic Stroke January 2021, European Society of Cardiology (ESC) Stroke Committee and European Percutaneous Cardiac The Society of Vascular Interventions (EAPCI), with the support of the European Commission for Neurological Intervention, developed an interdisciplinary management opinion paper for acute ischemic stroke
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This article summarizes cardiologist training recommendations for endovascular treatment of acute ischemic stroke
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cn/guideline/2260409 2021 ESO Guide: Intravenous Thrombolytic Therapy for Acute Ischemic Stroke In March 2021, the European Stroke Organization (ESO) released the acute ischemic stroke vein Guidelines for thrombolytic therapy
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Intravenous thrombolytic therapy is the only approved systemic reperfusion therapy for patients with acute ischemic stroke
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This article mainly provides evidence-based guidance and recommendations for this treatment, aiming to help doctors make decisions about intravenous thrombolytic therapy for acute ischemic stroke
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cn/guideline/2297910 2021 AHA/ASA Guide: Stroke Prevention in Patients with Stroke and Transient Ischemic Attack In May 2021, the American Heart Association (AHA) and the American Stroke Association ( ASA) jointly issued guidelines for stroke prevention for patients with stroke and transient ischemic attack
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This article mainly provides evidence-based guidance and recommendations for the prevention of future strokes for survivors of ischemic stroke and transient ischemic attack.
The content involves the diagnosis and evaluation of secondary stroke prevention, management of vascular risk factors, etiological management and secondary Systematic care of stroke
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cn/guideline/23384 Article link: First perspective: 2021 AHA/ASA Stroke and Transient Ischemic Attack Guidelines Updates for the Update of Guidelines for Stroke Prevention in Patients with Transient Ischemic Attack Interpretation 11 2021 ESO Guidelines: Acute Ischemia Blood pressure management for acute ischemic stroke and intracerebral hemorrhage In June 2021, the European Stroke Organization (ESO) issued guidelines for blood pressure management for acute ischemic stroke and intracerebral hemorrhage, in acute ischemic stroke (AIS) and acute intracerebral hemorrhage (ICH) Among patients, elevated blood pressure is common
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This article updates ESO's previous guidelines on blood pressure management for AIS and ICH patients, and provides guidance and recommendations for blood pressure management for acute stroke patients
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cn/guideline/23985 Article link: Blood pressure management of acute ischemic stroke and cerebral hemorrhage, please keep this guide 12 2021 ESO Guide: Management of Space-occupying Cerebral Infarction 2021 In June 2008, the European Stroke Organization (ESO) issued guidelines for the management of space-occupying cerebral infarction
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Space-occupying cerebral edema is a potentially fatal complication within the first few days of a large hemisphere or cerebellar infarction.
There are several treatment strategies for this complication, but the level and quality of relevant evidence vary greatly
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The main purpose of this article is to provide decision-making guidance for clinicians in the management of patients with space-occupying hemisphere or cerebellar infarction
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cn/guideline/23973 Article link: How to manage space-occupying cerebral infarction, 13 key information at a glance Platelet therapy In June 2021, the European Stroke Organization (ESO) issued a quick recommendation for early and short-term dual antiplatelet therapy for patients with mild stroke and high-risk TIA
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In patients with TIA or ischemic stroke, the prevention of early recurrent ischemic stroke is still a priority.
This article provides quick guidance and recommendations for the application of dual antiplatelet therapy in the early stage of ischemic stroke and TIA
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cn/guideline/2399114 2021 ESO/EAN Joint Guide: Cognitive Impairment after Stroke In September 2021, the European Stroke Organization (ESO) and the European Society of Neurology (EAN) jointly released Guidelines for the management of cognitive impairment after stroke
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The optimal treatment of cognitive impairment after stroke is still controversial.
This article is mainly based on the latest evidence and provides evidence-based guidance and recommendations for the prevention, diagnosis, treatment and prognosis of cognitive impairment after stroke
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cn/guideline/24085