A Regional Network Organization for Thrombectomy for Acute Ischemic Stroke in the Anterior Circulation; Timing, Safety, and Effectiveness

Mechanical thrombectomy (MT) in association with intravenous thrombolysis is recommended for treatment of acute ischemic stroke (AIS), with large vessel occlusion (LVO) in the anterior circulation. Because MT is only available in comprehensive stroke centers (CSC), the challenge of stroke organization is to ensure equitable access to the fastest endovascular suite. Our aim was to evaluate the feasibility, efficacy, and safety of MT in patients initially managed in 1 CSC (mothership), compared with patients first managed in primary stroke center (PSC), and then transferred to the CSC for MT (drip-and-ship).

Source: Journal of Stroke and Cerebrovascular Diseases - November 12, 2018 Category: Neurology Authors: Isabelle Mourand, Pauline Malissart, Cyril Dargazanli, Erika Nogue, Stephane Bouly, Nicolas Gaillard, Yassine Boukriche, Lucas Corti, Marie-Christine Picot, Olivier Beaufils, Mohamed Chbicheb, Denis Sablot, Alain Bonafe, Vincent Costalat, Caroline Arquiza Source Type: research