From the Guidelines
The key announcements at the International Stroke Conference 2025 regarding cerebrovascular (stroke) management and treatment are likely to focus on optimizing stroke systems of care, improving prehospital triage and transport, and enhancing hospital-based stroke treatment.
Key Recommendations
- Stroke systems of care: Developing local systems that integrate healthcare resources to maximize stroke outcomes, with a focus on early stroke recognition, effective triage and transport, and timely hospital-based treatment 1.
- Prehospital triage and transport: Utilizing decision science, machine learning, and computational tools to optimize prehospital triage destinations and transport protocols 1.
- Hospital-based stroke treatment: Ensuring access to advanced neuroimaging, interventional neuroradiology, and emergent neurovascular surgery, as well as protocols for hyperacute and acute stroke management 1.
Additional Considerations
- Technology and patient-reported outcomes: Advancing the use of technology and patient-reported outcomes to facilitate improved care transitions and refine stroke care interventions 1.
- Continuous quality improvement: Regularly updating recommendations and guidelines to reflect new evidence and best practices, with a focus on maximizing stroke outcomes and reducing persistent disparities 1.
- Collaboration and coordination: Encouraging stakeholder collaboration to develop effective stroke systems of care, with a focus on patient-centered care and seamless transitions between stages of care 1.
From the Research
Key Announcements at the International Stroke Conference 2025
There are no research papers to assist in answering this question as the provided studies do not mention the International Stroke Conference 2025.
Cerebrovascular (Stroke) Management and Treatment
- The management of stroke has greatly advanced, with rapid reperfusion by use of intravenous thrombolysis and endovascular thrombectomy shown to reduce disability 2.
- For acute ischaemic stroke, multimodal CT or MRI reveal infarct core, ischaemic penumbra, and site of vascular occlusion 3.
- Tenecteplase is now a safe and effective alternative to alteplase for intravenous thrombolysis in ischaemic stroke 3.
- The indications for endovascular thrombectomy have been extended to include larger core infarcts and basilar artery occlusion, and the treatment time window has increased to up to 24 h from stroke onset 3.
- Nuclear medicine has shown promise in stroke diagnosis and management, notably through mobile stroke units, pre-hospital acute stroke magnetic resonance image (MRI) based biomarkers, and MRI-based stroke mechanisms for 4D flow nuclear imaging 4.
Secondary Prevention Strategies
- Secondary prevention encompasses pharmacological, vascular, or endovascular interventions and lifestyle modifications, guided by underlying stroke mechanisms 3.
- Proven secondary prevention strategies include warfarin for patients with atrial fibrillation, endarterectomy for symptomatic carotid stenosis, antiplatelet agents, and cholesterol reduction 5.
- Interventions such as lowering blood pressure, smoking cessation, and lifestyle optimisation are common to all stroke subtypes 2.