Update for the 2026 ASA / AHA Acute Ischemic Stroke Guidelines

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Update for the 2026 ASA / AHA Acute Ischemic Stroke Guidelines

Presented By: Chad M. Miller, MD, FNCS, FANA
Chief Medical Officer, Adjacent Health

Learning Objectives:

• Explore recent changes to patient selection for endovascular therapy for ischemic stroke.
• Emphasize the most impactful management recommendations for acute ischemic stroke.
• Examine the new extended window opportunities for intravenous thrombolysis.

Dr. Chad Miller is a board-certified neurologist, neurointensivist, and vascular neurologist. He is currently the CMO for Adjacent Health Solutions. Dr. Miller began working in the virtual medicine field in 2005 when he began as a consultant for Intouch Health. Chad was a founding member of the C3O Medical Group at the time of its acquisition by Intouch Health as part of its strategic Growth. Since 2015, Dr. Miller has served as Medical Director of Neurology and Critical Care for Physicians services as part of both InTouch Health and subsequently Teladoc Health. Dr. Miller received his undergraduate degree from Miami University. He then graduated from The Ohio State University School of Medicine prior to residency training at Duke University. Dr. Miller pursued fellowship training at the University of California, Los Angeles. Chad was the founder and director of the Neurocritical Care Programs at Cedars-Sinai Medical Center and OhioHealth Riverside Methodist Hospital. He has served as medical director at each of these facilities in addition to the Wexner Medical Center at The Ohio State University.
Dr. Miller’s interests include characterization and prevention of secondary brain injury through multi-modal neuromonitoring and virtual neuroscience care. Dr. Miller has served as the co-chair of the Emergency Neurologic Life Support Program and board member for the Neurocritical Care Society, where he is also a designated fellow (FNCS). His research interests have resulted in over 100 books, original articles, and abstracts in publications such as Stroke, Critical Care Medicine, Journal of Neurosurgery, and Neurocritical Care.