Mechanical Thrombectomy Access for All? Challenges in Increasing Endovascular Treatment for Acute Ischemic Stroke in the United States

Sushanth Rao Aroor; Kaiz S. Asif; Jennifer Potter-Vig; Arun Sharma; Bijoy K. Menon; Violiza Inoa; Cynthia B. Zevallos; Jose G. Romano; Santiago Ortega-Gutierrez; Larry B. Goldstein; Dileep R. Yavagal

doi:10.5853/jos.2021.03909

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Mechanical Thrombectomy Access for All? Challenges in Increasing Endovascular Treatment for Acute Ischemic Stroke in the United States

Journal article

Open access

Peer reviewed

Mechanical Thrombectomy Access for All? Challenges in Increasing Endovascular Treatment for Acute Ischemic Stroke in the United States

Sushanth Rao Aroor, Kaiz S. Asif, Jennifer Potter-Vig, Arun Sharma, Bijoy K. Menon, Violiza Inoa, Cynthia B. Zevallos, Jose G. Romano, Santiago Ortega-Gutierrez, Larry B. Goldstein, …

Journal of stroke, Vol.24(1), pp.41-48

01/01/2022

DOI: 10.5853/jos.2021.03909

PMCID: PMC8829477

PMID: 35135058

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Abstract

Mechanical thrombectomy (MT) is the most effective treatment for selected patients with an acute ischemic stroke due to emergent large vessel occlusions (LVOs). There is an urgent need to identify and address challenges in access to MT to maximize the numbers of patients who can benefit from this treatment. Barriers in access to MT include delays in evaluation and accurate diagnosis of LVO leading to inappropriate triage, logistical delays related to availability of facilities and trained interventionalists, and financial hurdles that affect treatment reimbursement. Collection of regional data related to these barriers is critical to better understand current access gaps and a measurable access score to thrombectomy could be useful to plan local public health intervention.

Cardiovascular System & Cardiology

Clinical Neurology

Life Sciences & Biomedicine

Neurosciences & Neurology

Peripheral Vascular Disease

Science & Technology

Details

Title: Subtitle: Mechanical Thrombectomy Access for All? Challenges in Increasing Endovascular Treatment for Acute Ischemic Stroke in the United States
Creators: Sushanth Rao Aroor - Rutgers, The State University of New Jersey
Kaiz S. Asif - Amita Health
Jennifer Potter-Vig - Society of Interventional Radiology
Arun Sharma - University of Miami, Herbert Business School, Miami, FL, USA.
Bijoy K. Menon - University of Calgary
Violiza Inoa - University of Tennessee Health Science Center
Cynthia B. Zevallos - University of Iowa
Jose G. Romano - University of Miami
Santiago Ortega-Gutierrez - University of Iowa
Larry B. Goldstein - University of Kentucky
Dileep R. Yavagal - University of Miami
Resource Type: Journal article
Publication Details: Journal of stroke, Vol.24(1), pp.41-48
DOI: 10.5853/jos.2021.03909
PMID: 35135058
PMCID: PMC8829477
NLM abbreviation: J Stroke
ISSN: 2287-6391
eISSN: 2287-6405
Publisher: Korean Stroke Soc
Number of pages: 8
Grant note: Vascular Dynamics
Language: English
Date published: 01/01/2022
Academic Unit: Neurology; Radiology; Iowa Neuroscience Institute; Neurosurgery
Record Identifier: 9984302205502771

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