Mechanical thrombectomy performs similarly in real world practice: a 2016 nationwide study from the Czech Republic

Abstract

Data on efficacy, safety, and logistics of MT from the CR were similar to data from the HERMES collaboration.

Impact of the Thrombectomy Trials on the Management and Outcome of Large Vessel Stroke: Data From the Lyon Stroke Center

“…Preliminary reports from monocentric (12, 13) or multicentric (14, 15) studies indicate that EVT seems applicable in the “real” world of clinical practice, with similar results to those of controlled trials. Still, little data is available on how systems of care have started to adapt to this paradigm shift in acute stroke therapy.…”

“…Previous limited monocentric ( N < 80 cases) (12, 13) as well as larger multicentric studies (14, 15) of thrombectomy showed that comparable outcomes could be achieved in clinical practice and randomized trials. In 2015–2016, >85% of patients with M1 occlusion admitted in our center were treated by thrombectomy.…”

The Role of Interventional Radiologists in Acute Ischemic Stroke Interventions: A Joint Position Statement from the Society of Interventional Radiology, the Cardiovascular and Interventional Radiology Society of Europe, and the Interventional Radiology Society of Australasia

“…Results from individual hospital case series of EVT performed by interventional radiologists have demonstrated outcomes comparable to those of international trials (39)(40)(41)(42)(43)(44). At present, there are no publications including the Highly Effective Reperfusion Evaluated in Multiple Endovascular Stroke Trials (HERMES) data that show different outcomes associated with interventional radiologists compared with neurointerventionists (4,45).…”

Society of Interventional Radiology Training Guidelines for Endovascular Stroke Treatment

“…Interventional radiologists have been partners with neurointerventional radiologists, endovascular neurosurgeons, and interventional neurologists in acute intervention for stroke (AIS) since the inception of EVT. Vascular/IR physicians who were not trained in formal neurointerventional fellowships have historically provided and continue to provide EVT in substantial numbers with good outcomes, comparable to those achieved by neurointerventional physicians during similar years (29)(30)(31)(32)(33)(34)(35). A recent survey of the Joint Commission (JC) PSCs found that 60% of the responding PSCs performed EVT, and, of these, 41% relied on IR physicians to provide this care (26).…”

“…The establishment of training guidelines to ensure competency standards that meet the needs of patients, hospitals, and physicians in these communities is relevant. It is intended that, by implementing and adhering to these training guidelines, the motivated diplomate in IR will be able to achieve competency to perform EVT with outcomes that meet published quality benchmarks (25) and are comparable to those of published registries and trials (4)(5)(6)(7)(8)(9)(10)16,17,19,35,(41)(42)(43)(44)(45)(46)(47)(48).…”