Identifying delays to mechanical thrombectomy for acute stroke: onset to door and door to clot times

被引：26

作者：

Asif, Kaiz S. ^{[1
,2
]}

Lazzaro, Marc A. ^{[1
,2
,3
]}

Zaidat, Osama ^{[1
,2
,3
,4
]}

机构：

[1] Med Coll Wisconsin, Dept Neurol, Milwaukee, WI 53226 USA

[2] Med Coll Wisconsin, Froedtert Mem Lutheran Hosp, Milwaukee, WI 53226 USA

[3] Med Coll Wisconsin, Dept Neurosurg, Milwaukee, WI 53226 USA

[4] Med Coll Wisconsin, Dept Radiol, Milwaukee, WI 53226 USA

来源：

JOURNAL OF NEUROINTERVENTIONAL SURGERY | 2014年 / 6卷 / 07期

关键词：

ACUTE ISCHEMIC-STROKE; TISSUE-PLASMINOGEN ACTIVATOR; ELEVATION MYOCARDIAL-INFARCTION; IN-HOSPITAL DELAY; ENDOVASCULAR TREATMENT; PREHOSPITAL NOTIFICATION; HELICOPTER TRANSPORT; MULTICENTER ANALYSIS; POOLED ANALYSIS; MERCI TRIAL;

D O I：

10.1136/neurintsurg-2013-010792

中图分类号：

R445 [影像诊断学];

学科分类号：

100207 ;

摘要：

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.

引用

页码：505 / 510

页数：6

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