Key Takeaways From the New Stroke Guideline :
Key Takeaways From the New Stroke Guideline:
• Guideline update: The American Stroke Association (ASA), part of the American Heart Association, released updated ischemic stroke guidelines, published in Stroke.
• Core principle: Coordinated systems of care (EMS, hospitals, telemedicine, stroke centers) save lives — “time is brain.”
• Imaging timelines:
• Initial brain imaging should occur within 25 minutes of hospital arrival.
• Imaging requirements are simplified to allow more hospitals to act faster.
• Thrombolysis:
Recommended within 4.5 hours of symptom onset.
• Endovascular thrombectomy (EVT): Recommended for selected patients up to 24 hours after symptom onset.
• Growing support for EVT in posterior circulation stroke(Basilar artery).
• Pediatric stroke (first-time guidance):
• Formal recommendations introduced for children.
• May be used in patients 28 days–18 years (within 4.5 hour).
Source& Date: Stroke-AHA journal, January 26, 2026.
https://www.ahajournals.org/
