Journal article
You Cannot Manage What You Do Not Measure: Advances in Global Stroke Interventions and the Role of the Mechanical Thrombectomy Access Score
Cardiology in review, Vol.33(6), pp.467-469
11/2025
DOI: 10.1097/CRD.0000000000000914
PMID: 40183546
Abstract
Global disparities in stroke care, particularly in acute interventions like mechanical thrombectomy (MT), remain profound, with the Mechanical Thombectomy Global Access for Stroke study reporting a median global MT access of just 2.79%. Furthermore, the low- and middle-income countries (LMICs) have been recognized to be disproportionately burdened in this regard as compared with high-income countries. These observed inequities in stroke care impact not only clinical outcomes but also economic productivity and social systems. Recent advancements, such as TeleStroke networks, Mobile Stroke Units, and artificial intelligence-powered tools, have the potential to bridge these gaps. The Mechanical Thrombectomy Access Score (MTAS) offers a novel standardized approach to quantifying barriers to MT access and guiding targeted interventions to mitigate such obstacles. This review explores how MTAS enables the integration of these advancements into global stroke care systems, addressing inequities and optimizing outcomes. Emphasizing the importance of measuring access to manage inequities, we propose strategies to refine and validate MTAS while advocating for systemic investments to enhance global stroke care.
Details
- Title: Subtitle
- You Cannot Manage What You Do Not Measure: Advances in Global Stroke Interventions and the Role of the Mechanical Thrombectomy Access Score
- Creators
- Fawaz Al-Mufti - Westchester Medical CenterZaid Najdawi - University of Nebraska Medical CenterMohamed Elfil - Department of Neurology, University of Miami/Jackson Health System, Miami, FLAnkita Jain - Westchester Medical CenterEris Spirollari - Westchester Medical CenterAriel Sacknovitz - Westchester Medical CenterHazem S Ghaith - Department of Medicine, Al-Azhar University, Cairo, EgyptPriyank Khandelwal - University Hospital, NewarkVictor C Urrutia - Johns Hopkins HospitalNabeel A Herial - Thomas Jefferson University HospitalPankajavalli Ramakrishnan - MidHudson Regional HospitalGabor Toth - Cleveland ClinicMohammad El-Ghanem - University of HoustonKrishna Amuluru - Goodman Campbell Brain and Spine, Indianapolis, INViktor Szeder - University of California, Los AngelesJonathan R Crowe - University of VirginiaKarol Budohoski - University of UtahZurab Nadareishvili - Virginia Hospital CenterKaustubh Limaye - Indiana University IndianapolisFazeel Siddiqui - Department of Neurology, University of Michigan Health-West, Wyoming, MIHamza Shaikh - Cooper University Health CareNishita Singh - University of ManitobaHesham Masoud - SUNY Upstate Medical UniversitySushanth R Aroor - Department of Neurology, University of Texas Health Science Center, Houston, TXShashvat M Desai - HonorHealthSantiago Ortega-Gutierrez - University of IowaTareq Kass-Hout - University of ChicagoDileep R Yavagal - Department of Neurology, University of Miami/Jackson Health System, Miami, FLKaiz S Asif - AscensionSVIN: Mission Thrombectomy Collaborative
- Resource Type
- Journal article
- Publication Details
- Cardiology in review, Vol.33(6), pp.467-469
- DOI
- 10.1097/CRD.0000000000000914
- PMID
- 40183546
- NLM abbreviation
- Cardiol Rev
- ISSN
- 1538-4683
- eISSN
- 1538-4683
- Language
- English
- Electronic publication date
- 04/04/2025
- Date published
- 11/2025
- Academic Unit
- Neurology; Radiology; Iowa Neuroscience Institute; Neurosurgery
- Record Identifier
- 9984803811502771
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