Faculty Collaboration Database

Performance and training standards for endovascular ischemic stroke treatment. J Stroke Cerebrovasc Dis 2009;18(6):411-5

Date

11/11/2009

Pubmed ID

19900641

DOI

10.1016/j.jstrokecerebrovasdis.2009.08.001

Scopus ID

2-s2.0-70449507067 (requires institutional sign-in at Scopus site)   20 Citations

Abstract

Stroke is the third-leading cause of death in the United States, Canada, Europe, and Japan. According to the American Heart Association and the American Stroke Association, 750,000 new strokes occur each year, resulting in 200,000 deaths (or 1 of every 16 deaths) per year in the United States alone. Endovascular therapy for patients with acute ischemic stroke is an area of intense investigation. The American Stroke Association has given a qualified endorsement of intra-arterial (IA) thrombolysis in selected patients. IA thrombolysis has been studied in 2 randomized trials and numerous case series. Although 2 devices have been granted FDA 3 approval with an indication for mechanical stroke thrombectomy, none of these devices has demonstrated efficacy in improving patient outcomes. This report defines what constitutes adequate training to perform neuroendovascular procedures in patients with acute ischemic stroke and identifies the performance standards that should be adopted to assess outcomes. These guidelines have been written and approved by multiple neuroscience societies that historically have been directly involved in the medical, surgical, and endovascular care of patients with acute stroke, including the Neurovascular Coalition and its participating societies: the Society of NeuroInterventional Surgery; American Academy of Neurology; American Association of Neurological Surgeons, Cerebrovascular Section; and Society of Vascular & Interventional Neurology.

Author List

Meyers PM, Schumacher HC, Alexander MJ, Derdeyn CP, Furlan AJ, Higashida RT, Moran CJ, Tarr RW, Heck DV, Hirsch JA, Jensen ME, Linfante I, McDougall CG, Nesbit GM, Rasmussen PA, Tomsick TA, Wechsler LR, Wilson JR, Zaidat OO, Wrting Group for American Academy of Neurology, American Association of Neurological Surgeons Cerebrovascular Section, Society of Neurointerventional Surgery and Society of Vascular and Interventional Neurology

MESH terms used to index this publication - Major topics in bold

Brain Ischemia
Clinical Competence
Credentialing
Curriculum
Education, Medical, Graduate
Humans
Neurosurgical Procedures
Practice Guidelines as Topic
Quality of Health Care
Societies, Medical
Stroke
Task Performance and Analysis
Thrombectomy
Thrombolytic Therapy