[Recent clinical studies and the S3 guidelines on stroke].

Radiologie (Heidelberg, Germany) Pub Date : 2025-02-01 Epub Date: 2025-01-20 DOI:10.1007/s00117-024-01415-9

Wolfgang Reith, Armin Bachhuber

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Abstract

Background: Treatment of patients with acute stroke requires hospitalization. Cooperation of neurologists, neuroradiologists, intensive care physicians, internists, and cardiologists is required to achieve best possible outcome.

Objective: A summary of the current recommendations for stroke treatment is provided.

Methods: This update is based on the S3 guidelines and incorporates additional results of the latest clinical studies; pubmed.gov was used as the database.

Results: Computed tomography (CT) or magnetic resonance imaging (MRI) are essential to differentiate between ischemic and hemorrhagic stroke. The S3 guideline recommends thrombolysis within 4.5 h after the onset of symptoms, while mechanical thrombectomy for large vessel occlusions may be indicated up to 24 h after stroke onset in certain cases. Therapy should be initiated for an internal carotid artery (ICA) stenosis of at least 50%.

Conclusion: Thrombolysis, mechanical thrombectomy, and the treatment of ICA stenosis are the three cornerstones of acute stroke treatment.

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[最近的临床研究和S3中风指南]。

背景：急性脑卒中患者需要住院治疗。需要神经科医生、神经放射科医生、重症监护医生、内科医生和心脏病专家的合作才能取得最好的结果。目的：总结目前脑卒中治疗的建议。方法：本次更新基于S3指南，并纳入了最新临床研究的额外结果；数据库使用Pubmed.gov。结果：计算机断层扫描（CT）或磁共振成像（MRI）是区分缺血性和出血性中风的必要手段。S3指南建议在症状出现后4.5 h内进行溶栓，而在某些情况下，大血管闭塞的机械取栓可能需要在卒中发作后24 h内进行。内颈动脉（ICA）狭窄至少50%应开始治疗。结论：溶栓、机械取栓、ICA狭窄治疗是急性脑卒中治疗的三大基石。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Radiologie (Heidelberg, Germany)

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