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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2018.1
- 수록면
- 1 - 14 (14page)
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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 team for EVT candidate prior to imaging, neurointervention 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.
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참고문헌 (59)
참고문헌 신청
Saver JL / 2016 / Time to treatment with endovascular thrombectomy and outcomes from ischemic stroke: a meta-analysis / JAMA 316(12):1279~1288
Aghaebrahim A / 2017 / Streamlining door to recanalization processes in endovascular stroke therapy / J Neurointerv Surg 9(4):340~345
Mehta BP / 2014 / Reducing door-topuncture times for intra-arterial stroke therapy: a pilot quality improvement project / J Am Heart Assoc 3(6):e000963
Brandler ES / 2014 / Prehospital stroke scales in urban environments: a systematic review / Neurology 82(24):2241~2249
Kidwell CS / 2000 / Identifying stroke in the field. Prospective validation of the Los Angeles prehospital stroke screen (LAPSS) / Stroke 31(1):71~76
Aghaebrahim A / 2017 / Streamlining door to recanalization processes in endovascular stroke therapy / J Neurointerv Surg 9(4):340~345
Mehta BP / 2014 / Reducing door-topuncture times for intra-arterial stroke therapy: a pilot quality improvement project / J Am Heart Assoc 3(6):e000963
Brandler ES / 2014 / Prehospital stroke scales in urban environments: a systematic review / Neurology 82(24):2241~2249
Kidwell CS / 2000 / Identifying stroke in the field. Prospective validation of the Los Angeles prehospital stroke screen (LAPSS) / Stroke 31(1):71~76
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