TY - JOUR
T1 - Stroke treatment academic industry roundtable (STAIR) recommendations for maximizing the use of intravenous thrombolytics and expanding treatment options with intra-arterial and neuroprotective therapies
AU - Albers, Gregory W.
AU - Goldstein, Larry B.
AU - Hess, David C.
AU - Wechsler, Lawrence R.
AU - Furie, Karen L.
AU - Gorelick, Philip B.
AU - Hurn, Patty
AU - Liebeskind, David S.
AU - Nogueira, Raul G.
AU - Saver, Jeffrey L.
PY - 2011/9
Y1 - 2011/9
N2 - Background and Purpose-The goal of the Stroke Treatment Academic Industry Roundtable (STAIR) meetings is to advance the development of acute and restorative stroke therapies. Summary of Review-At the STAIR VII recommendations for strategies to maximize the use of intravenous thrombolytics through targeting public education, and the refinement of current treatment exclusion criteria were proposed. Increased utilization of mechanical devices for intra-arterial recanalization can be achieved by obtaining more definitive evidence of efficacy in randomized clinical trials, identification of patient characteristics associated with treatment efficacy, optimization of technical approaches, clarification of effective time windows, and development of approaches to limit complications. Neuroprotective strategies remain viable; recommendations for further study of these agents include an emphasis on rapid administration, consideration of the systemic effects of ischemic stroke, prevention of complications associated with early reperfusion, a focus on agents with multiple mechanisms of action, and consideration of possible interactions between neuroprotective and thrombolytic therapies. Conclusions-Extending intravenous thrombolysis to a broader patient population, clarifying the risk and benefits of intra-arterial reperfusion therapies, and further development of neuroprotective therapies were the key recommendations from STAIR VII.
AB - Background and Purpose-The goal of the Stroke Treatment Academic Industry Roundtable (STAIR) meetings is to advance the development of acute and restorative stroke therapies. Summary of Review-At the STAIR VII recommendations for strategies to maximize the use of intravenous thrombolytics through targeting public education, and the refinement of current treatment exclusion criteria were proposed. Increased utilization of mechanical devices for intra-arterial recanalization can be achieved by obtaining more definitive evidence of efficacy in randomized clinical trials, identification of patient characteristics associated with treatment efficacy, optimization of technical approaches, clarification of effective time windows, and development of approaches to limit complications. Neuroprotective strategies remain viable; recommendations for further study of these agents include an emphasis on rapid administration, consideration of the systemic effects of ischemic stroke, prevention of complications associated with early reperfusion, a focus on agents with multiple mechanisms of action, and consideration of possible interactions between neuroprotective and thrombolytic therapies. Conclusions-Extending intravenous thrombolysis to a broader patient population, clarifying the risk and benefits of intra-arterial reperfusion therapies, and further development of neuroprotective therapies were the key recommendations from STAIR VII.
KW - acute stroke
KW - basic science
KW - drug trials
KW - neuroprotection
KW - thrombolysis
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UR - http://www.scopus.com/inward/citedby.url?scp=80052404082&partnerID=8YFLogxK
U2 - 10.1161/STROKEAHA.111.618850
DO - 10.1161/STROKEAHA.111.618850
M3 - Review article
C2 - 21852620
AN - SCOPUS:80052404082
SN - 0039-2499
VL - 42
SP - 2645
EP - 2650
JO - Stroke
JF - Stroke
IS - 9
ER -