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

Korean Journal of Radiology : Official Journal of the Korean Radiological Society
Dae-Hyun KimJoung-Ho Rha

Abstract

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 procedur...Continue Reading

References

Apr 1, 1997·The American Journal of Cardiology·M H SamoreA W Karchmer
Mar 27, 1999·Annals of Emergency Medicine·R U KothariJ Broderick
Jan 8, 2000·Stroke; a Journal of Cerebral Circulation·C S KidwellJ L Saver
Jul 19, 2003·Stroke; a Journal of Cerebral Circulation·Randall T HigashidaUNKNOWN Technology Assessment Committee of the Society of Interventional Radiology
Apr 9, 2004·The New England Journal of Medicine·Jack V TuUNKNOWN Investigators in the Registry of the Canadian Stroke Network
Jun 18, 2005·Stroke; a Journal of Cerebral Circulation·Anne W Wojner-AlexandrovJames C Grotta
Jul 26, 2006·European Journal of Internal Medicine·R BarbaA Zapatero
Oct 17, 2009·European Journal of Neurology : the Official Journal of the European Federation of Neurological Societies·S K KimJ K Cha
Jul 24, 2010·Stroke; a Journal of Cerebral Circulation·Ji Hoe HeoMi Sun Oh
Jun 24, 2011·Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences·M EesaM Goyal
Jul 13, 2012·Circulation. Cardiovascular Quality and Outcomes·Cheryl B LinGregg C Fonarow
Nov 6, 2012·Journal of Neurointerventional Surgery·Jitendra SharmaDaniel P Hsu
Mar 9, 2013·Stroke; a Journal of Cerebral Circulation·Mirjam R HeldnerUrs Fischer
Oct 1, 2011·The Neurohospitalist·Bijoy K Menon, Andrew M Demchuk
Jan 8, 2014·Journal of Stroke·Hyo Suk NamJi Hoe Heo
Feb 25, 2014·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Adnan I QureshiM Fareed K Suri
May 23, 2014·Neurology·Ethan S BrandlerSteven R Levine
May 31, 2014·Stroke; a Journal of Cerebral Circulation·Bryan ChoiBrian Silver
Sep 28, 2014·Journal of Neurointerventional Surgery·Jennifer S McDonaldDavid F Kallmes
Oct 30, 2014·Stroke; a Journal of Cerebral Circulation·Mayank GoyalAndrew Demchuk
Nov 13, 2014·Journal of the American Heart Association·Brijesh P MehtaAlbert J Yoo
Dec 18, 2014·The New England Journal of Medicine·Olvert A BerkhemerUNKNOWN MR CLEAN Investigators
Feb 12, 2015·The New England Journal of Medicine·Mayank GoyalUNKNOWN ESCAPE Trial Investigators
Jul 7, 2015·International Journal of Stroke : Official Journal of the International Stroke Society·Leanne K CasaubonUNKNOWN Heart and Stroke Foundation of Canada Canadian Stroke Best Practices Advisory Committee
Sep 2, 2015·Journal of Neurointerventional Surgery·Ryan A McTaggartUNKNOWN Standards and Guidelines Committee of the Society of NeuroInterventional Surgery (SNIS)
Dec 15, 2015·AJNR. American Journal of Neuroradiology·C ZernaM Goyal
Feb 11, 2016·Journal of Neurointerventional Surgery·Ansaar T RaiJeffrey S Carpenter
Mar 10, 2016·Stroke; a Journal of Cerebral Circulation·Marc RiboUNKNOWN REVASCAT Trial Investigators
Apr 7, 2016·Journal of Neurointerventional Surgery·Amin AghaebrahimAshutosh P Jadhav
Apr 14, 2016·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Dae-Hyun KimJae-Kwan Cha
Sep 28, 2016·JAMA : the Journal of the American Medical Association·Jeffrey L SaverUNKNOWN HERMES Collaborators

❮ Previous
Next ❯

Citations

Sep 30, 2019·Journal of Neurointerventional Surgery·Dong-Hun KangYong-Sun Kim
Dec 20, 2019·Korean Journal of Radiology : Official Journal of the Korean Radiological Society·Yeon Hyeon Choe
Nov 26, 2020·Korean Journal of Radiology : Official Journal of the Korean Radiological Society·Yeon Hyeon Choe

❮ Previous
Next ❯

Methods Mentioned

BETA
sedation

Related Concepts

Related Feeds

Brain Ischemia

Brain ischemia is a condition in which there is insufficient blood flow to the brain to meet metabolic demand. Discover the latest research on brain ischemia here.

Acute Stroke

A stroke occurs when blood supply to the brain is interrupted depriving the brain of oxygen and nutrients. This feed focuses cerebrovascular accidents including ischemic and paralytic stroke.

Related Papers

Journal of Korean Medical Science
Dae-Hyun KimKorean Society of Interventional Neuroradiology and Korean Stroke Society Joint Task Force Team
Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association
Hongjin WangB Yan
International Journal of Stroke : Official Journal of the International Stroke Society
Leanne K CasaubonHeart and Stroke Foundation of Canada Canadian Stroke Best Practices Advisory Committee
Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association
Adnan I QureshiM Fareed K Suri
© 2022 Meta ULC. All rights reserved