Paradigm Shift in the Stroke Medical Care System

Abstract

  Advances in mechanical thrombectomy have been rapidly progressing in medical treatment systems for acute ischemic stroke. Based on the 5-year plan for stopping CVD published in 2016, the Japan Stroke Society certified 975 centers in Japan as primary stroke centers for uniform iv t-PA therapy for 24 h/day, every day. Linking the 5-year plan with a plan for promoting cardiovascular diseases will facilitate uniform primary care for stroke and adoption of advanced medical care.