2026 Guideline for the Early Management of Patients With Acute Ischemic Stroke: A Guideline From the American Heart Association/American Stroke Association
This guideline represents the most current and comprehensive evidence available in AIS care. Key updates include the incorporation of new evidence related to thrombolytic choice and eligibility, determination of eligibility for endovascular thrombectomy, and management of hyperglycemia and dysphagia; a focused consideration of the pediatric population; and modification of the approach to thrombolysis contraindications. Although this guideline reflects significant advances, it also highlights gaps in knowledge and underscores the urgent need for continued research to further refine and improve treatment strategies.
Authors
- C. P. Derdeyn
- A Jadhav
- Christopher Streib (ORCID: https://orcid.org/0000-0002-1119-757X)
- W Meurer
- Regina Royan (ORCID: https://orcid.org/0000-0002-2645-5412)
- A. Rabinstein
- Agnieszka Ardelt
- Patrick Lyden
- Clemens M. Schirmer (ORCID: https://orcid.org/0000-0003-1743-8781)
- Sabrina Times
- Mathew Reeves
- A Uzcategui Arauz
- Tania Sola Saiz
- Mona N. Bahouth (ORCID: https://orcid.org/0000-0003-0341-5087)
- Elisabeth B. Marsh (ORCID: https://orcid.org/0000-0002-2385-5074)
- E Zink
- Alexis N. Simpkins (ORCID: https://orcid.org/0000-0001-7529-4267)
- Kori Sauser Zachrison (ORCID: https://orcid.org/0000-0001-8160-3257)
- Sunil Sheth
- Anna Finley Caulfield
- N. Sangha
- Mark J. Lowell
- Peter Sporns
- Vivien H. Lee
- Eva Mistry
- Stacey Q. Wolfe
- Shadi Yaghi
- Brenda Johnson
- Tracy E. Madsen
- Opeolu Adeoye
- Shyam Prabhakaran
- Stavropoula Tjoumakaris
- Nestor R. Gonzalez
- Anne W. Alexandrov
- Bijoy Menon
- Pooja Khatri
- Oana M. Dumitrascu
- Dana Schwartzberg
- Thabele M. Leslie-Mazwi
- Sherita Chapman
- Koto Ishida
- Sameer A. Ansari
- Soojin Park
- Stephanie Parker
- W. Taylor Kimberly
- Alexandra L. Czap
- Brian Mac Grory
- Natalia Pérez de la Ossa
- Layne Dylla
- Michael Frankel
- Marcelo Rocha
- Yvonne Labram
- Kimberly P. Kicielinski
- Christopher T. Richards
- Heather J. Fullerton
- Waldo R. Guerrero
- David Tirschwell
- Karen Rapp
- Joseph P. Broderick
- J. Mocco
- Edgar A. Samaniego
- Edward C. Jauch
- Enrique C. Leira
- Aditya Pandey
Institutions
- American Academy of Pediatrics (US)
- American Academy of Dermatology (US)
- Society for Vascular Surgery (US)
- American Association of Neurological Surgeons (US)
- Society of Critical Care Medicine (US)
- Stroke Association (GB)
- Society of Interventional Radiology (US)
- Society for Academic Emergency Medicine (US)
Publication Details
- Journal
- Stroke
- Published
- 2026-01-26
- DOI
- https://doi.org/10.1161/str.0000000000000513
- Citations
- 24
- Primary Topic
- Acute Ischemic Stroke Management
- Type
- article
- Field-Weighted Citation Impact
- 756.52