Introduction — This topic includes links to society and government-sponsored guidelines from selected countries and regions around the world. We will update these links periodically; newer versions of some guidelines may be available on each society's website. Some societies may require users to log in to access their guidelines.
The recommendations in the following guidelines may vary from those that appear in UpToDate topic reviews. Readers who are looking for UpToDate topic reviews should use the UpToDate search box to find the relevant content.
Links to related guidelines are provided separately. (See "Society guideline links: Stroke in children" and "Society guideline links: Occlusive carotid, aortic, renal, mesenteric, and peripheral atherosclerotic disease".)
Links to guidelines related to coronavirus disease 2019 (COVID-19) are also provided separately. (See "Society guideline links: COVID-19 – Index of guideline topics".)
International
●American Association of Neurological Surgeons (AANS), American Society of Neuroradiology (ASNR), Cardiovascular and Interventional Radiology Society of Europe (CIRSE), Canadian Interventional Radiology Association (CIRA), Congress of Neurological Surgeons (CNS), European Society of Minimally Invasive Neurological Therapy (ESMINT), European Society of Neuroradiology (ESNR), European Stroke Organization (ESO), Society for Cardiovascular Angiography and Interventions (SCAI), Society of Interventional Radiology (SIR), Society of NeuroInterventional Surgery (SNIS), and World Stroke Organization (WSO): Multisociety consensus quality improvement revised consensus statement for endovascular therapy of acute ischemic stroke (2018)
●Standards of practice in acute ischemic stroke intervention – International recommendations (2018)
Canada
●Heart and Stroke Foundation of Canada (HSFC): Canadian stroke best practice recommendations on acetylsalicylic acid (ASA) for prevention of vascular events (2020)
●HSFC: Canadian stroke best practice recommendations on management of spontaneous intracerebral hemorrhage (2020)
●Choosing Wisely Canada: Don't perform carotid endarterectomies or stenting in most asymptomatic high risk patients with limited life expectancy (2019)
●HSFC: Canadian stroke best practice recommendations on mood, cognition and fatigue following stroke (2019)
●HSFC: Canadian stroke best practice recommendations on rehabilitation and recovery following stroke (2019)
●HSFC: Canadian stroke best practice recommendations on transitions and community participation following stroke (2019)
●Canadian Cardiovascular Society (CCS): Guidelines for the management of atrial fibrillation, focused update (2018)
•CCS: Guidelines for the management of atrial fibrillation, focused update (2016)
•CCS: Guidelines for the management of atrial fibrillation, focused update (2014)
•CCS: Atrial fibrillation guidelines − Recommendations for stroke prevention and rate/rhythm control, focused update (2012)
•CCS: Atrial fibrillation guidelines 2010 − Prevention of stroke and systemic thromboembolism in atrial fibrillation and flutter (published 2011)
●HSFC: Canadian stroke best practice recommendations on acute stroke management (2018)
●HSFC: Canadian stroke best practice recommendations on acute stroke management during pregnancy (2017)
●HSFC: Canadian stroke best practice recommendations on prevention of recurrent stroke in pregnancy (2017)
●HSFC: Canadian stroke best practice recommendations on secondary prevention of stroke (2017)
●HSFC: Canadian stroke best practice recommendations on telestroke (2017)
United States
●American Academy of Neurology (AAN): Stroke prevention in symptomatic large artery intracranial atherosclerosis practice advisory (2022)
●American Heart Association (AHA)/American Stroke Association (ASA): A scientific statement for endovascular treatment and thrombolysis for acute ischemic stroke in patients with premorbid disability or dementia (2022)
●AHA/ASA: Guideline for the management of patients with spontaneous intracerebral hemorrhage (2022)
●AHA/ASA: Guideline for the prevention of stroke in patients with stroke and transient ischemic attack (2021)
●AHA/ASA: Scientific statement for primary care of adult patients after stroke (2021)
●US Preventive Services Task Force (USPSTF): Final recommendation statement on screening for asymptomatic carotid artery stenosis (2021)
●AHA/ASA: Scientific statement on considerations for reduction of risk of perioperative stroke in adult patients undergoing cardiac and thoracic aortic operations (2020)
●Society for Neuroscience in Anesthesiology and Critical Care (SNACC): Guidelines on perioperative care of patients at high risk for stroke during or after non-cardiac, non-neurological surgery (2020)
●AHA/ASA: Guidelines for the early management of patients with acute ischemic stroke, update (2019)
●Society of Interventional Radiology (SIR), Cardiovascular and Interventional Radiology Society of Europe (CIRSE), and Interventional Radiology Society of Australasia (IRSA): A joint position statement on the role of interventional radiologists in acute ischemic stroke interventions (2019)
●US Department of Veterans Affairs (VA) and US Department of Defense (DoD): Clinical practice guideline for the management of stroke rehabilitation (2019)
●Choosing Wisely: Do not continue simple transfusions in patients with stroke from sickle cell disease who have iron overload, if red blood cell exchange is available (2018)
●AHA: Scientific statement on self-care for the prevention and management of cardiovascular disease and stroke (2017)
●Choosing Wisely: Don't order "formal" swallow evaluation in stroke patients unless they fail their initial swallow screen (2017)
●American College of Radiology (ACR): ACR Appropriateness Criteria on cerebrovascular disease (1996, reviewed 2016)
●AHA/ASA: Guidelines for adult stroke rehabilitation and recovery (2016)
●AHA/ASA: A scientific statement for the prevention of stroke in patients with silent cerebrovascular disease (2016)
●AHA/ASA: A scientific statement on poststroke depression (2016)
●Neurocritical Care Society (NCS) and Society of Critical Care Medicine (SCCM): Guideline for reversal of antithrombotics in intracranial hemorrhage (2016)
●AHA/ASA: Guidelines for the management of patients with unruptured intracranial aneurysms (2015)
●NCS and German Society for Neuro-Intensive Care and Emergency Medicine (DGNI): Evidence-based guidelines for the management of large hemispheric infarction (2015)
●AHA/ASA: A statement for healthcare professionals on palliative and end-of-life care in stroke (2014)
●AHA/ASA: Guidelines for the prevention of stroke in women (2014)
●AHA/ASA: Guidelines for the primary prevention of stroke (2014)
●AHA/ASA: Scientific statement on physical activity and exercise recommendations for stroke survivors (2014)
●Choosing Wisely: Don't routinely use seizure prophylaxis in patients following ischemic stroke (2014)
●SNACC: Consensus statement for the anesthetic management of endovascular treatment for acute ischemic stroke (2014)
●Choosing Wisely: Don't initiate routine evaluation of carotid artery disease prior to cardiac surgery in the absence of symptoms or other high-risk criteria (2013)
●Choosing Wisely: Don't recommend CEA for asymptomatic carotid stenosis unless the complication rate is low (<3%) (2013)
●Choosing Wisely: Don't screen for carotid artery stenosis (CAS) in asymptomatic adult patients (2013)
●AHA/ASA: Guidelines for the management of aneurysmal subarachnoid hemorrhage (2012)
●American College of Preventative Medicine (ACPM): Position statement on preventive practice for atherosclerotic cardiovascular disease screening in adults (2011)
Europe
●European Stroke Organisation (ESO): Guideline directory
●European Academy of Neurology (EAN): Guideline reference center – Stroke
●ESO: Guidelines on intravenous thrombolysis for acute ischaemic stroke (2021)
●Society of Interventional Radiology (SIR), Cardiovascular and Interventional Radiology Society of Europe (CIRSE), and Interventional Radiology Society of Australasia (IRSA): A joint position statement on the role of interventional radiologists in acute ischemic stroke interventions (2019)
●European position paper on the management of patients with patent foramen ovale − General approach and left circulation thromboembolism (2018)
United Kingdom
●National Institute for Health and Care Excellence (NICE): Guideline on stroke and transient ischaemic attack in over 16s − Diagnosis and initial management (2019, updated 2022)
●NICE: Interventional procedures guidance on inducing and maintaining normothermia using temperature modulation devices to improve outcomes after stroke or subarachnoid haemorrhage (2021)
●NICE: Interventional procedures guidance on therapeutic hypothermia for acute ischaemic stroke (2019)
●NICE: Interventional procedures guidance on extracranial to intracranial bypass for intracranial atherosclerosis (2017)
●NICE: Clinical guideline on cardiovascular disease − Risk assessment and reduction, including lipid modification (2014, updated 2016)
●Royal College of Physicians (RCP): National clinical guideline for stroke, 5th edition (2016)
●NICE: Quality standard for cardiovascular risk assessment and lipid modification (2015)
●NICE: Clinical guideline on stroke rehabilitation in adults (2013)
●NICE: Public health guideline on cardiovascular disease prevention (2010)
Australia-New Zealand
●National Stroke Foundation (NSF): Clinical guidelines for stroke management
●Australian and New Zealand Committee on Resuscitation (ANZCOR): Guideline 9.2.2 – Stroke (2021)
●Society of Interventional Radiology (SIR), Cardiovascular and Interventional Radiology Society of Europe (CIRSE), and Interventional Radiology Society of Australasia (IRSA): A joint position statement on the role of interventional radiologists in acute ischemic stroke interventions (2019)
Japan
●[In Japanese] Japan Stroke Society (JSTS): Japanese guidelines for the management of stroke (2015, updated 2019)
●[In English] Japan Society of Surgery for Cerebral Stroke (JSSCS): Evidence-based guidelines for the management of aneurysmal subarachnoid hemorrhage (2011)
