Performance and training standards for endovascular ischemic stroke treatment.
Publication/Presentation Date
1-1-2009
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.
Volume
18
Issue
6
First Page
411
Last Page
415
ISSN
1532-8511
Published In/Presented At
Meyers, P. M., Schumacher, H. C., Alexander, M. J., Derdeyn, C. P., Furlan, A. J., Higashida, R. T., Moran, C. J., Tarr, R. W., Heck, D. V., Hirsch, J. A., Jensen, M. E., Linfante, I., McDougall, C. G., Nesbit, G. M., Rasmussen, P. A., Tomsick, T. A., Wechsler, L. R., Wilson, J. R., Zaidat, O. O., & 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 (2009). Performance and training standards for endovascular ischemic stroke treatment. Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association, 18(6), 411–415. https://doi.org/10.1016/j.jstrokecerebrovasdis.2009.08.001
Disciplines
Medicine and Health Sciences
PubMedID
19900641
Department(s)
Department of Medicine
Document Type
Article