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September, 2026
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Alejandro González Veliz: Beyond the Golden Hour in Stroke Care
Sep 25, 2026, 13:50

Alejandro González Veliz: Beyond the Golden Hour in Stroke Care

Alejandro González Veliz, Interventional Cardiologist at Institute of Cardiology and Cardiovascular Surgery, shared a post on LinkedIn:

“The stroke clock is still critical – but it is no longer the whole story.

This 2026 review highlights how acute ischemic stroke management has evolved from a primarily time-driven approach toward increasingly sophisticated tissue- and patient-selection strategies.

Tenecteplase is expanding the thrombolysis landscape.

Advanced imaging can identify selected patients who may benefit beyond traditional treatment windows.

Mechanical thrombectomy has moved well beyond the original early-window large-vessel population, with growing evidence even in patients with large ischemic cores.

At the same time, important questions remain – particularly for medium and distal vessel occlusions.

The central message is simple:

Treat fast.

Image intelligently.

Select carefully.”

Alejandro González Veliz

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