Deans' stroke musings: 2026 AHA/ASA Stroke Guideline Updates Reshape Imaging and Reperfusion Pathways

Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Friday, June 5, 2026

2026 AHA/ASA Stroke Guideline Updates Reshape Imaging and Reperfusion Pathways

THIS is the major problem in stroke; GUIDELINES, NOT PROTOCOLS! With this EXACT OBJECTIVE DIAGNOSIS you deliver THESE EXACT PROTOCOLS which deliver recovery! See how simple it is to state; getting there is going to a bitch, with all their closed off and entrenched minds in stroke!

2026 AHA/ASA Stroke Guideline Updates Reshape Imaging and Reperfusion Pathways

The 2026 guideline for early management of acute ischemic stroke (AIS) retains many foundational recommendations while introducing clinically meaningful updates spanning imaging, broader inpatient management, and reperfusion strategies including intravenous thrombolysis (IVT) and endovascular therapy (EVT). Notably, it provides expanded guidance for medium vessel occlusions and introduces pediatric recommendations that were largely absent from prior iterations. Given their impact on imaging workflows in AIS, the authors present a focused review of the updated guidelines for the radiologist.

REFERENCES

The 2026 AHA/ASA Guideline Updates to Management of Patients with Acute Ischemic Stroke: A Guide for Radiologists.
Rai P, Benson JC, Ahmed S, Mark IT, Rajeev R, Lakhani DA, Lanzino G, Klaas JP.
AJNR Am J Neuroradiol. 2026 Jun 4 [Epub ahead of print]