Rekanalizační terapie akutní ischemické cévní mozkové příhody v nestandardních situacích (2026)

This Czech-language practical clinical guide covers modern acute treatment of ischemic stroke across the full range of recanalization methods. It includes chapters on intravenous and intra-arterial thrombolysis and mechanical thrombectomy, with current indications and ways of increasing the rate of achieved recanalization. Particular attention is given to situations in which decision-making is most difficult and time is most critical, including dissection of the cervical and intracranial arteries, patients who have recently undergone surgery or an invasive procedure, patients with malignant disease, and pregnancy or the postpartum period. The book also addresses less common but important indications, such as central retinal artery occlusion, as well as childhood cases and the treatment of cerebral venous sinus thrombosis. Its practical value is enhanced by chapters on pre-hospital logistics, pharmacological treatment of early recurrent ischemic stroke and the management of complicated tandem lesions. It also covers subsequent interventional and surgical procedures, including carotid endarterectomy after stroke, acute extra-intracranial bypass and decompressive craniectomy after thrombectomy. The publication links recommended procedures with real clinical practice and helps unify decision-making across the specialties involved in the acute care of patients with ischemic stroke.