Thursday, December 17, 2020

Evolution of the stroke paradigm: A review of delayed recanalization

So if you are not a candidate for getting yourself recanalized, WHAT THE FUCK IS YOUR DOCTOR'S SOLUTION TO 100% RECOVERY? NO EXCUSES!

Evolution of the stroke paradigm: A review of delayed recanalization

First Published December 16, 2020 Review Article Find in PubMed 

While the time window for reperfusion after ischemic stroke continues to increase, many patients are not candidates for reperfusion under current guidelines that allow for reperfusion within 24 h after last known well time; however, many case studies report favorable outcomes(Favorable does not imply 100% recovery, so you are using the tyranny of low expectations to justify your failures.) beyond 24 h after symptom onset for both spontaneous and medically induced recanalization. Furthermore, modern imaging allows for identification of penumbra at extended time points, and reperfusion risk factors and complications are becoming better understood. Taken together, continued urgency exists to better understand the pathophysiologic mechanisms and ideal setting of delayed recanalization beyond 24 h after onset of ischemia.

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