‏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.