Challenges to Widespread Implementation of Stroke Thrombectomy.
Publication/Presentation Date
8-1-2024
Abstract
Endovascular treatment (EVT) for acute ischemic stroke is one of the most efficacious and effective treatments in medicine, yet globally, its implementation remains limited. Patterns of EVT underutilization exist in virtually any health care system and range from a complete lack of access to selective undertreatment of certain patient subgroups. In this review, we outline different patterns of EVT underutilization and possible causes. We discuss common challenges and bottlenecks that are encountered by physicians, patients, and other stakeholders when trying to establish and expand EVT services in different scenarios and possible pathways to overcome these challenges. Lastly, we discuss the importance of implementation research studies, strategic partnerships, and advocacy efforts to mitigate EVT underutilization.
Volume
55
Issue
8
First Page
2173
Last Page
2183
ISSN
1524-4628
Published In/Presented At
Ospel, J. M., Diprose, W. K., Ganesh, A., Martins, S., Nguyen, T., Psychogios, M., Mansour, O., Al-Ajlan, F., Yang, P., Pandian, J., Gopinathan, A., Sandset, E. C., Kennedy, J., Volders, D., Fahed, R., Tjoumakaris, S., Bhogal, P., Kurz, M., Yavagal, D., Inoa, V., … Goyal, M. (2024). Challenges to Widespread Implementation of Stroke Thrombectomy. Stroke, 55(8), 2173–2183. https://doi.org/10.1161/STROKEAHA.124.045889
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
38979609
Department(s)
Administration and Leadership
Document Type
Article