TY - JOUR T1 - Standards of practice in acute ischemic stroke intervention: international recommendations JF - Journal of NeuroInterventional Surgery JO - J NeuroIntervent Surg SP - 1121 LP - 1126 DO - 10.1136/neurintsurg-2018-014287 VL - 10 IS - 11 AU - Laurent Pierot AU - Mahesh V Jayaraman AU - Istvan Szikora AU - Joshua A Hirsch AU - Blaise Baxter AU - Shigeru Miyachi AU - Jeyaledchumy Mahadevan AU - Winston Chong AU - Peter J Mitchell AU - Alan Coulthard AU - Howard A Rowley AU - Pina C Sanelli AU - Donatella Tampieri AU - Patrick A Brouwer AU - Jens Fiehler AU - Naci Kocer AU - Pedro Vilela AU - Alex Rovira AU - Urs Fischer AU - Valeria Caso AU - Bart van der Worp AU - Nobuyuki Sakai AU - Yuji Matsumaru AU - Shin-ichi Yoshimura AU - Rene Anxionnat AU - Hubert Desal AU - Luisa Biscoito AU - José Manuel Pumar AU - Orlando Diaz AU - Justin F Fraser AU - Italo Linfante AU - David S Liebeskind AU - Raul G Nogueira AU - Werner Hacke AU - Michael Brainin AU - Bernard Yan AU - Mchael Soderman AU - Allan Taylor AU - Sirintara Pongpech AU - Michihiro Tanaka AU - Terbrugge Karel A2 - , Y1 - 2018/11/01 UR - http://jnis.bmj.com/content/10/11/1121.abstract N2 - After the five positive randomized controlled trials showing the benefit of mechanical thrombectomy (MT) in the management of acute ischemic stroke (AIS) with emergent large vessel occlusion (ELVO), a multisociety meeting was organized during the 16th Congress of the World Federation of Interventional and Therapeutic Neuroradiology (WFITN), October 2015, Gold Coast (Australia). This meeting was dedicated to the training of physicians performing MT, and recommendations were published thereafter in multiple scientific journals.1 The same group of scientific societies decided to organize a similar meeting during the 17th WFITN Congress, October 2017, Budapest (Hungary). This multisociety meeting was dedicated to standards of practice in acute ischemic stroke intervention (AISI), aiming for a consensus on the minimum requirements for centers providing such treatment.In an ideal situation, all patients would be treated at a center offering a full spectrum of neuroendovascular care (a level 1 center). However, for geographical reasons, some patients are unable to reach such a center in a reasonable period of time. With this in mind, the group paid special attention to define recommendations on the prerequisites of organizing stroke centers providing MT for AIS, but not for other neurovascular diseases (a level 2 center). Finally, some centers will have a stroke unit and offer intravenous thrombolysis, but not any endovascular stroke therapy (a level 3 center). Together, these level 1, 2, and 3 centers form a complete stroke system of care. The requirements for these centers are summarized in table 1.View this table:In this windowIn a new windowTable 1 General summary of capabilities of level 1, 2, and 3 centersDue to the relatively short time elapsed since the evidence in favor of MT has been published, some organizational aspects still require scientific validation. However, considering the extremely fast growth of such activities around the world, the multisociety group considered it timely and rational to set-up recommendations and a framework for … ER -