TY - JOUR T1 - A review of acute ischemic stroke triage protocol evidence: a context for discussion JF - Journal of NeuroInterventional Surgery JO - J NeuroIntervent Surg SP - 1047 LP - 1052 DO - 10.1136/neurintsurg-2018-013951 VL - 10 IS - 11 AU - Alexander G Chartrain AU - Hazem Shoirah AU - Edward C Jauch AU - J Mocco Y1 - 2018/11/01 UR - http://jnis.bmj.com/content/10/11/1047.abstract N2 - Endovascular thrombectomy (EVT) is now the standard of care for eligible patients with acute ischemic stroke (AIS) secondary to emergent large vessel occlusion (ELVO). However, there remains uncertainty in how hospital systems can most efficiently route patients with suspected ELVO for EVT treatment. Given the relative geographic distribution of centers with and without endovascular capabilities, the value of prehospital triage directly to centers with the ability to provide EVT remains debated. While there are no randomized trial data available to date, there is substantial evidence in the literature that may offer guidance on the subject. In this review we examine the available data in the context of improving the existing AIS triage systems and discuss how prehospital triage directly to endovascular-capable centers may confer clinical benefits for patients with suspected ELVO. ER -