Identifying delays to mechanical thrombectomy for acute stroke: onset to door and door to clot times. J Neurointerv Surg 2014 Sep;6(7):505-10
Date
09/21/2013Pubmed ID
24052495DOI
10.1136/neurintsurg-2013-010792Scopus ID
2-s2.0-84905912695 (requires institutional sign-in at Scopus site) 24 CitationsAbstract
Outcomes from endovascular therapy for acute stroke are time dependent. Delays in the administration of this therapy have not been extensively studied and no performance benchmarks have been established. There are limited data on the complex factors that can affect these delays. In this review, we discuss the existing literature on the delays involved in endovascular therapy and have presented them as prehospital and inhospital factors. Some of these factors are common to intravenous thrombolysis; in addition, there are some that are unique to endovascular therapy. These include the awareness of the first responders, emergency medical services, interhospital transfer and triage systems, activation of the endovascular team, complex imaging decisions, and intraprocedural delays. A thorough understanding of these delays can help identify areas of improvement which may affect clinical outcomes.
Author List
Asif KS, Lazzaro MA, Zaidat OAuthor
Marc A. Lazzaro MD Associate Professor in the Neurology department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
Blood CoagulationEmergency Medical Services
Endovascular Procedures
Humans
Patient Transfer
Stroke
Thrombectomy
Time-to-Treatment
