2019 급성 허혈뇌졸중 환자에서 혈관내재개통치료 진료지침 개정
2019 Update of the Korean Clinical Practice Guidelines of Stroke for Endovascular Recanalization Therapy in Patients with Acute Ischemic Stroke
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초록
Endovascular recanalization therapy (ERT) has been a standard of care for patients with acute ischemic stroke due to large artery occlusion (LAO) within 6 hours after onset since the five landmark ERT trials up to 2015 demonstrated its clinical benefit. Recently, two randomized clinical trials demonstrated that ERT, even in the late time window up to 16 hours or 24 hours after last known normal time, improved the outcome of patients who had a target mismatch defined as either clinical-core mismatch or perfusion-core mismatch, which prompted the update of national guidelines in several countries. Accordingly, to provide evidence-based and up-to-date recommendations for ERT in patients with acute LAO in Korea, the Clinical Practice Guidelines Committee of the Korean Stroke Society decided to revise the previous Korean Clinical Practice Guidelines of Stroke for ERT. For this update, the members of the writing group were appointed by the Korean Stroke Society and the Korean Society of Interventional Neuroradiology. After thorough reviewing the updated evidence from two recent trials and relevant literature, the writing members revised recommendations, for which formal consensus was achieved by convening an expert panel composed of 45 experts from the participating academic societies. The current guidelines are intended to help healthcare providers, patients, and their caregivers make their well-informed decisions and to improve the quality of care regarding ERT. The ultimate decision for ERT in a particular patient must be made in light of circumstances specific to that patient. J Korean Neurol Assoc 38(2
Abstract
Endovascular recanalization therapy (ERT) has been a standard of care for patients with acute ischemic stroke due to large artery occlusion (LAO) within 6 hours after onset since the five landmark ERT trials up to 2015 demonstrated its clinical benefit. Recently, two randomized clinical trials demonstrated that ERT, even in the late time window up to 16 hours or 24 hours after last known normal time, improved the outcome of patients who had a target mismatch defined as either clinical-core mismatch or perfusion-core mismatch, which prompted the update of national guidelines in several countries. Accordingly, to provide evidence-based and up-to-date recommendations for ERT in patients with acute LAO in Korea, the Clinical Practice Guidelines Committee of the Korean Stroke Society decided to revise the previous Korean Clinical Practice Guidelines of Stroke for ERT. For this update, the members of the writing group were appointed by the Korean Stroke Society and the Korean Society of Interventional Neuroradiology. After thorough reviewing the updated evidence from two recent trials and relevant literature, the writing members revised recommendations, for which formal consensus was achieved by convening an expert panel composed of 45 experts from the participating academic societies. The current guidelines are intended to help healthcare providers, patients, and their caregivers make their well-informed decisions and to improve the quality of care regarding ERT. The ultimate decision for ERT in a particular patient must be made in light of circumstances specific to that patient. J Korean Neurol Assoc 38(2
참고문헌 (34)
- Berkhemer OA, "A randomized trial of intraarterial treatment for acute ischemic stroke", N Engl J Med, 372, pp.11~20 (2015)
- Campbell BC, "Endovascular therapy for ischemic stroke with perfusion-imaging selection", N Engl J Med, 372, pp.1009~1018 (2015)
- Saver JL, "Stent-retriever thrombectomy after intravenous t-PA vs. t-PA alone in stroke", N Engl J Med, 372, pp.2285~2295 (2015)
- Jovin TG, "Thrombectomy within 8 hours after symptom onset in ischemic stroke", N Engl J Med, 372, pp.2296~2306 (2015)
- Goyal M, "Randomized assessment of rapid endovascular treatment of ischemic stroke", N Engl J Med, 372, pp.1019~1030 (2015)
- Goyal M, "Endovascular thrombectomy after large-vessel ischaemic stroke : a meta-analysis of individual patient data from five randomised trials", Lancet, 387, pp.1723~1731 (2016)
- Powers WJ, "2015 american heart association", american stroke association focused update of the 2013 guidelines for the early management of patients with acute ischemic stroke regarding endovascular treatment, 2015, pp.46, 3020~3035
- Wahlgren N, "Mechanical thrombectomy in acute ischemic stroke : consensus statement by ESO-Karolinska stroke update 2014", 2015, supported by ESO, ESMINT, ESNR, and EAN, 2016, pp.11, 134~147
- Casaubon LK, "Canadian stroke best practice recommendations : hyperacute stroke care guidelines, update 2015", Int J Stroke, 10, pp.924~940 (2015)
- 홍근식, "Endovascular Recanalization Therapy in Acute Ischemic Stroke: Updated Meta-analysis of Randomized Controlled Trials", 대한뇌졸중영문학회지, 17(3), pp.268~281 (2015), 대한뇌졸중학회
- Saver JL, "Time to treatment with endovascular thrombectomy and outcomes from ischemic stroke : a meta-analysis", JAMA, 316, pp.1279~1288 (2016)
- Lansberg MG, "Mri profile and response to endovascular reperfusion after stroke(DEFUSE 2) : a prospective cohort study", Lancet Neurol, 11, pp.860~867 (2012)
- Lansberg MG, "Computed tomographic perfusion to predict response to recanalization in ischemic stroke", Ann Neurol, 81, pp.849~856 (2017)
- Jovin TG, "Imaging-based endovascular therapy for acute ischemic stroke due to proximal intracranial anterior circulation occlusion treated beyond 8hours from time last seen well : Retrospective multicenter analysis of 237 consecutive patients", Stroke, 42, pp.2206~2211 (2011)
- Copen WA, "Existence of the diffusion-perfusion mismatch within 24 hours after onset of acute stroke : dependence on proximal arterial occlusion", Radiology, 250, pp.878~886 (2009)
- Jovin TG, "Diffusion-weighted imaging or computerized tomography perfusion assessment with clinical mismatch in the triage of wake up and late presenting strokes undergoing neurointervention with trevo(DAWN)trial methods", Int J Stroke, 12, pp.641~652 (2017)
- Albers GW, "A multicenter randomized controlled trial of endovascular therapy following imaging evaluation for ischemic stroke(DEFUSE 3)", Int J Stroke, 12, pp.896~905 (2017)
- Nogueira RG, "Thrombectomy 6 to 24 hours after stroke with a mismatch between deficit and infarct", N Engl J Med, 378, pp.11~21 (2018)
- Albers GW, "Thrombectomy for stroke at 6 to 16 hours with selection by perfusion imaging", N Engl J Med, 378, pp.708~718 (2018)
- Powers WJ, "2018 guidelines for the early management of patients with acute ischemic stroke : a guideline for healthcare professionals from the american heart association", american stroke association, 2018, pp.49, e46~e110
- Boulanger JM, "Canadian stroke best practice recommendations for acute stroke management: prehospital, emergency department, and acute inpatient stroke care, 6th edition, update 2018", Int J Stroke, 13, pp.949~984 (2018)
- "Australian clinical guidelines for stroke management. Chapter 8.2 neurointervention" (2018)[URL]
- United States Department of Health and Human Services, "Acute pain management: operative or medical procedures and trauma", AHCPR, 107~ (1993)
- Kudo K, "Accuracy and reliability assessment of ct and mr perfusion analysis software using a digital phantom", Radiology, 267, pp.201~211 (2013)
- Austein F, "Comparison of perfusion ct software to predict the final infarct volume after thrombectomy", Stroke, 47, pp.2311~2317 (2016)
- Kudo K, "Differences in ct perfusion maps generated by different commercial software : quantitative analysis by using identical source data of acute stroke patients", Radiology, 254, pp.200~209 (2010)
- Warach SJ, "Acute stroke imaging research roadmap iii imaging selection and outcomes in acute stroke reperfusion clinical trials : consensus recommendations and further research priorities", Stroke, 47, pp.1389~1398 (2016)
- Brook RH, "A method for the detailed assessment of the appropriateness of medical technologies", Int J Technol Assess Health Care, 2, pp.53~63 (1986)
- Wardlaw JM, "Immediate computed tomography scanning of acute stroke is cost-effective and improves quality of life", Stroke, 35, pp.2477~2483 (2004)
- Kidwell CS, "Comparison of mri and ct for detection of acute intracerebral hemorrhage", JAMA, 292, pp.1823~1830 (2004)
- Brazzelli M, "Magnetic resonance imaging versus computed tomography for detection of acute vascular lesions in patients presenting with stroke symptoms", Cochrane Database Syst Rev, (4), pp.CD007424~ (2009)
- Jadhav AP, "Eligibility for endovascular trial enrollment in the 6-to 24-hour time window : analysis of a single comprehensive stroke center", Stroke, 49, pp.1015~1017 (2018)
- Keun-Sik Hong, "Stroke Statistics in Korea: Part I. Epidemiology and Risk Factors: A Report from the Korean Stroke Society and Clinical Research Center for Stroke", 대한뇌졸중영문학회지, 15(1), pp.2~20 (2013), 대한뇌졸중학회[DOI]
- Keon-Joo Lee, "Nationwide Estimation of Eligibility for Endovascular Thrombectomy Based on the DAWN Trial", 대한뇌졸중영문학회지, 20(2), pp.277~279 (2018), 대한뇌졸중학회