脳卒中治療ガイドライン2021から追補2023へ

抄録

Japan Stroke Society Guideline 2021 for the Treatment of Stroke (GL2021) is the totally revised version from the 2019 update version. The clinical question format was partially introduced, and we employed five grades of recommendation originally developed by the Guideline Committee and three levels of evidence. For the first time as Japan Stroke Society Guideline of the treatment of stroke, GL2021 was published also in English. The part of the main topics in GL 2021 are as follows : left atrial appendage closure, acute dual antiplatelet therapy, dual antiplatelet therapy including cilostazol on the chronic phase, optimal target for antihypertensive therapy in patients with stroke on the chronic stage, antithrombotic therapy for patients with cryptogenic stroke or embolic stroke of undetermined source, and so on. After the publishment of GL 2021, following topics have been introduced : mechanical thrombectomy for patients with large ischemic core, mechanical thrombectomy skipping intravenous thrombolysis, mechanical thrombectomy for basilar artery occlusion, and prasugrel for secondary stroke prevention. The next update 2023 Japanese version will be published in early summer 2023. We are just in the process of creating this update.