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Clinical Practice Guidelines

UNC Stroke Center CPGs

Acute Ischemic Stroke

  1. Powers, W.J., Rabinstein A.A., Ackerson, T., Adeoye, O.M., Bambakidis, N.C….Tirschwell, D.L. (2019).   Guidelines for the early management of patients with acute ischemic stroke:  2019 update to the 2018 guidelines for the early management of acute ischemic stroke: A guideline for healthcare professionals from the American Heart Association/American Stroke Association.  Powers, WJ, Rabinstein AA, Ackerson, T, Adeoye, OM et al.  Stroke. 2019; 50:12: e46-e99.
  2. Treatment and Outcome of Hemorrhagic Transformation After Intravenous Alteplase in Acute Ischemic Stroke: A Scientific Statement for Healthcare Professionals from the American Heart Association/American Stroke Association.  Yaghi, S., Willey, J.Z., Cucchiara, B. et. al.  Stroke. 2017 November 15.

Hemorrhagic Stroke

  1. Guidelines for the management of spontaneous intracerebral hemorrhage: A guideline for healthcare professionals from the American Heart Association/American Stroke Association. Hemphill, JC, Greenbert, SM, Anderson, CS et. al. Stroke.  2015; 46: 2032-2060.
  2. Guidelines for the management of Aneurysmal Subarachnoid Hemorrhage: A guideline for healthcare professionals from the American Heart Association/American Stroke Association. Connolly, E, Rabinstein, AA, Carhuapoma, JR et. al.  Stroke.  2012; 43; 1711-1737.
  3. Critical care management of patients following aneurysmal subarachnoid hemorrhage: Recommendations from the Neurocritical Care Society’s multidisciplinary consensus conference. Diringer, MN, Bleck, TP, Hemphill, JC et. al. Neurocritical Care. 2011
  4. Management of Brain Arteriovenous Malformations: A Scientific Statement for Healthcare Professionals From the American Heart Association/American Stroke Association.  Derdeyn, C.P., Zipfel, G.J., Albuquerque, F.C. et. al. Stroke. 2017; 48: e200-e224.

Transient Ischemic Attack

  1. Definition and evaluation of transient ischemic attack: a scientific statement for healthcare professionals from the American Heart Association/American Stroke Association Stroke Council. Easton JD, Saver JL, Albers GW, Alberts MJ, et al. Stroke. 2009 Jun;40(6):2276-93.

Cerebral Venous Thrombosis

  1. Diagnosis and management of cerebral venous thrombosis. Saposnik, G, Barinagarrementeria, F, Brown, RD, Bushnell, CD, Cucchiara, B, Cushman M, deVeber, G, Ferro, JM, Tsai, FY. Stroke. 2011.

Prevention

  1. Guidelines for the primary prevention of stroke. Meschia, JF, Bushnell, C, Boden-Albala, B et. al. Stroke. 2014; 45:3754-3832.
  2. Guidelines for the prevention of stroke in patients with stroke and transient ischemic attack. Kernan, WN, Ovbiagele, B, Black, HR et. al. Stroke. 2014; 45: 2160-2236.
  3. 2019 AHA/ACC/HRS Focused update of the 2014 AHA/ACC/HRS Guideline for the Management of Patients With Atrial Fibrillation: A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and the Heart Rhythm Society. January, CT, Wann, S, Alpert, JS et. al. Circulation. 2014 December 2.

Cerebral Edema

  1. Recommendations for the management of cerebral and cerebellar infarction with swelling: A statement for healthcare professionals from the American Heart Association/American Stroke Association. Wijdicks, EF, Sheth, KN, Carter, BS et. al. 2014 April 1.

Depression

  1. Poststroke Depression: A Scientific Statement for Healthcare Professionals From the American Heart Association/American Stroke Association. Towfight, A., Ovbiagele, B., El Husseini, N. et. al. Stroke. 2017; 48: e30-e43.

Nursing

  1. Care of the patient with acute ischemic stroke (Prehospital and acute phase of care): Update to the 2009 comprehensive nursing care scientific statement: A scientific statement from the American Heart Association. Ashcraft, S., Wilson, S.E., Nystroke, K.V., Dusenbury, W., Wira, C.R. et al.    2021; 52 (1-15).
  2. Care of the patient with acute ischemic stroke (Endovascular/intensive care-postinterventional therapy): Update to the 2009 comprehensive nursing care scientific statement: A Scientific statement from the American Heart Association. Rodgers, M.L., Fox, E., Abdelhak, T., Franker, L.M., Johnson, B.J. et al.    2021; 52 (1-13).
  3. Care of the patient with acute ischemic stroke (Posthyperacute and prehospital discharge): Update to the 2009 comprehensive nursing care scientific statement: A scientific statement from the American Heart Association. Green, T.L, McNair, N.D., Hinkle, J.L., Middleton, S., Miller, E.T. et al. Stroke. 2021; 52 (1-19).

Rehabilitation

  1. Guidelines for Adult Stroke Rehabilitation and Recovery.  Winstein, C.J., Stein, J., Arena, R. Stroke. 2016; 47: e90-e169.

Palliative Care

  1. Braun, L.T., Grady, K.L., Kutner, J.S., Adler, E., Berlinger, N….Roach, W.H. (2016). Palliative care and cardiovascular disease and stroke: A policy statement from the American Heart Association/American Stroke Association. Circulation, 134(11), e198-e225.

COVID-19

  1. AHA/ASA Stroke Leadership Council (2020). Temporary emergency guidance to US stroke centers during the coronavirus disease 2019 (COVID-19) pandemic.  Stroke, 51(6), 1910-1912.
  2. Sharma, D., Rasmussen, M., Han, R., Whalin, M., Davis, M….Fraser, J.F. (2020). Anesthetic management of endovascular treatment of acute ischemic stroke during COVID-19 pandemic: Consensus statement from society for neuroscience in anesthesiology & critical care (SNACC).
  3. Fraser, J.F., Arthur, A.S., Chen, M., Levitt, M., Mocco, J….Klucznik, R.P. (2020). Society of neurointerventional surgery recommendations for the care of emergent neurointerventional paitents in the setting of COVID-19.  Journal of Neurointerventional Surgery, 12(6).

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