Consensus Statements by Korean Society of Interventional Neuroradiology and Korean Stroke Society: Hyperacute Endovascular Treatment Workflow to Reduce Door-to-Reperfusion Time

Recent clinical trials demonstrated the clinical benefit of endovascular treatment (EVT) in patients with acute ischemic stroke due to large vessel occlusion. These trials confirmed that good outcome after EVT depends on the time interval from symptom onset to reperfusion and that in-hospital delay...

Full description

Saved in:
Bibliographic Details
Published in:Korean journal of radiology 2018, 19(5), , pp.838-848
Main Authors: Kim, Dae-Hyun, Kim, Byungjun, Jung, Cheolkyu, Nam, Hyo Suk, Lee, Jin Soo, Kim, Jin Woo, Lee, Woong Jae, Seo, Woo-Keun, Heo, Ji-Hoe, Baik, Seung Kug, Kim, Byung Moon, Rha, Joung-Ho
Format: Article
Language:English
Subjects:
Angiography
Brain - diagnostic imaging
Consensus
Creatinine
Emergency medical care
Emergency Medical Services
Endovascular Procedures - methods
Hospitals
Humans
Informed consent
Laboratories
Medical imaging
Neurointervention
Patients
Scanners
Societies, Medical
Stroke
Stroke - diagnosis
Stroke - therapy
Thrombectomy
Tomography
Tomography, X-Ray Computed
방사선과학
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Recent clinical trials demonstrated the clinical benefit of endovascular treatment (EVT) in patients with acute ischemic stroke due to large vessel occlusion. These trials confirmed that good outcome after EVT depends on the time interval from symptom onset to reperfusion and that in-hospital delay leads to poor clinical outcome. However, there has been no universally accepted in-hospital workflow and performance benchmark for rapid reperfusion. Additionally, wide variety in workflow for EVT is present between each stroke centers. In this consensus statement, Korean Society of Interventional Neuroradiology and Korean Stroke Society Joint Task Force Team propose a standard workflow to reduce door-to-reperfusion time for stroke patients eligible for EVT. This includes early stroke identification and pre-hospital notification to stroke team of receiving hospital in pre-hospital phase, the transfer of stroke patients from door of the emergency department to computed tomography (CT) room, warming call to neurointervention (NI) team for EVT candidate prior to imaging, NI team preparation in parallel with thrombolysis, direct transportation from CT room to angiography suite following immediate decision of EVT and standardized procedure for rapid reperfusion. Implementation of optimized workflow will improve stroke time process metrics and clinical outcome of the patient treated with EVT.
ISSN:1229-6929
2005-8330
DOI:10.3348/kjr.2018.19.5.838