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CC BY-NC-ND 4.0 · Arq Neuropsiquiatr 2017; 75(01): 50-56
DOI: 10.1590/0004-282X20160174
Guidelines

Brazilian guidelines for endovascular treatment of patients with acute ischemic stroke

Diretrizes brasileiras para o tratamento endovascular de pacientes com acidente vascular cerebral isquêmico agudo
Octávio Marques Pontes Neto   *
1   Universidade de São Paulo, Faculdade de Medicina de Ribeirão Preto, Ribeirão Preto SP, Brasil
,
Pedro Cougo   *
1   Universidade de São Paulo, Faculdade de Medicina de Ribeirão Preto, Ribeirão Preto SP, Brasil
,
Sheila Cristina Ouriques Martins
2   Hospital de Clinicas de Porto Alegre, Porto Alegre RS, Brasil
,
Daniel G. Abud
1   Universidade de São Paulo, Faculdade de Medicina de Ribeirão Preto, Ribeirão Preto SP, Brasil
,
Raul G. Nogueira
3   Marcus Stroke & Neuroscience Center, Grady Memorial Hospital, Emory University School of Medicine. Atlanta, USA
,
Maramélia Miranda
4   Universidade Federal de São Paulo, São Paulo SP, Brasil
,
Luiz Henrique de Castro-Afonso
1   Universidade de São Paulo, Faculdade de Medicina de Ribeirão Preto, Ribeirão Preto SP, Brasil
,
Leticia C. Rebello
5   Hospital de Base de Brasília, Brasília DF, Brasil
,
José Guilherme M. Pereira Caldas
6   Universidade de São Paulo, Faculdade de Medicina, São Paulo SP, Brasil
,
Rodrigo Bazan
7   Universidade Estadual Paulista, Faculdade de Medicina de Botucatu, Botucatu SP, Brasil
,
Daniel C Bezerra
8   Hospital Pró-Cardíaco, Rio de Janeiro RJ, Brasil
,
Marco Tulio Rezende
9   Universidade Federal de Minas Gerais, Belo Horizonte MG, Brasil
,
Gabriel R. de Freitas
10   Universidade Federal Fluminense, Niterói RJ, Brasil
11   Instituto D'Or de Pesquisa e Ensino, Rio de Janeiro RJ, Brasil
,
Alexandre Longo
12   Hospital Municipal São José, Divisão de Neurologia, Joinville SC, Brasil
,
Pedro Magalhães
12   Hospital Municipal São José, Divisão de Neurologia, Joinville SC, Brasil
,
João José Freitas de Carvalho
13   Hospital Geral de Fortaleza, Fortaleza CE, Brasil
,
Francisco José Montalverne
13   Hospital Geral de Fortaleza, Fortaleza CE, Brasil
,
Fabricio Oliveira Lima
13   Hospital Geral de Fortaleza, Fortaleza CE, Brasil
,
Gustavo H.V. Andrade
14   Hospital da Restauração, Recife PE, Brasil
,
Ayrton R. Massaro
15   Hospital Sirio Libanês, São Paulo SP, Brasil
,
Jamary Oliveira Filho
16   Universidade Federal da Bahia, Salvador BA, Brasil
,
Rubens Gagliardi
17   Santa Casa de São Paulo, Faculdade de Ciências Médicas, São Paulo SP, Brasil
,
Gisele Sampaio Silva
18   Universidade Federal de São Paulo; São Paulo SP, Brasil
19   Hospital Israelita Albert Einstein, São Paulo SP, Brasil
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ABSTRACT

These guidelines are the result of a joint effort from writing groups of the Brazilian Stroke Society, the Scientific Department of Cerebrovascular Diseases of the Brazilian Academy of Neurology, the Brazilian Stroke Network and the Brazilian Society of Diagnostic and Therapeutic Neuroradiology. Members from these groups participated in web-based discussion forums with predefined themes, followed by videoconference meetings in which controversies and position statements were discussed, leading to a consensus. This guidelines focuses on the implications of the recent clinical trials on endovascular therapy for acute ischemic stroke due to proximal arterial occlusions, and the final text aims to guide health care providers, health care managers and public health authorities in managing patients with this condition in Brazil.

RESUMO

Estas diretrizes são o resultado de um esforço conjunto de membros da Sociedade Brasileira de Doenças Cerebrovasculares (SBDCV), Departamento científico de Doenças Cerebrovasculares da Academia Brasileira de Neurologia (ABN), Rede Brasil AVC (RBAVC) e da Sociedade Brasileira de Neurorradiologia Diagnóstica e Terapêutica (SBNR). Membros destas 4 entidades participaram de fórum de discussões por internet de temas pré-definidos, seguidos de encontros de videoconferência para discussão de pontos controversos e das recomendações, em busca de um consenso final. Estas diretrizes tem seu foco sobre as implicações dos recentes ensaios clínicos de tratamento endovascular do acidente vascular cerebral (AVC) isquêmico agudo relacionado a oclusão de artérias proximais. O texto final foi elaborado para servir de orientação no manejo destes pacientes AVC isquêmico pelos diferentes profissionais de saúde, gestores de saúde pública e de saúde complementar no Brasil.

Keywords:

stroke - endovascular procedures - guideline - thrombectomy

Palavras-chave:

acidente vascular cerebral - procedimentos endovasculares - guia - trombectomia

Executive Committee from the Brazilian Stroke Society, the Scientific Department in Cerebrovascular Diseases of the Brazilian Academy of Neurology, Brazilian Stroke Network and Brazilian Society of Diagnostic and Therapeutic Neuroradiology.


* Co-first authors


Support:

Brazilian Stroke Research Network of CNPq (402388/2013-5) and Brazilian Ministry of Health (Decit/SCTIE/MS). Octavio Pontes-Neto reports grant support from CNPq (402388/2013-5, 467322/2014-7).




Publikationsverlauf

Eingereicht: 25. Juli 2016

Angenommen: 10. August 2016

Artikel online veröffentlicht:
06. September 2023

© 2023. Academia Brasileira de Neurologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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