RT Journal Article
SR Electronic
T1 Identifying delays to mechanical thrombectomy for acute stroke: onset to door and door to clot times
JF Journal of NeuroInterventional Surgery
JO J NeuroIntervent Surg
FD BMJ Publishing Group Ltd.
SP 505
OP 510
DO 10.1136/neurintsurg-2013-010792
VO 6
IS 7
A1 Kaiz S Asif
A1 Marc A Lazzaro
A1 Osama Zaidat
YR 2014
UL http://jnis.bmj.com/content/6/7/505.abstract
AB 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.