Predictors of outcomes following catheter‐based therapy for acute stroke

Abstract

Successful revascularization with CBT leads to a good neurologic outcome in selected stroke patients. Medical co-morbidities and increased age > 65 years contributed to poor outcomes. To support broadening the number of physicians qualified to perform catheter-based stroke interventions, this study demonstrates that IC participating on a stroke team achieve comparable outcomes to NI.

Outcomes following endovascular therapy for acute stroke by interventional cardiologists

“…We excluded patients if key demographic data was unavailable (age or sex); if the target lesion location was unknown (LVO vs non‐LVO); if baseline National Institutes of Health Stroke Scale (NIHSS) was not available or key post‐procedural outcome data was unavailable (specifically; mortality and modified Rankin score [mRS]). Data included in this study from individual hospitals has been in part, been previously published 13‐15 …”

“…We performed a retrospective analysis of consecutive patients under- Data included in this study from individual hospitals has been in part, been previously published. [13][14][15]…”

“…24 Instead of transferring AIS patients with LVO to EVT capable stroke centers more than an hour away, we propose community treatment by carotid stent capable IC working in collaboration with noninvasive neurologists (or remotely with telemedicine). 13,25 These three centers achieved competency in carotid artery ste- Abbreviations: EXTEND 1A, extending the time for thrombolysis in emergency neurological deficits intra-arterial; ESCAPE, endovascular treatment for small core and anterior circulation proximal occlusion with emphasis on minimizing CT to recanalization times; MR CLEAN, multicenter randomized clinical trial of endovascular treatment for acute ischemic stroke in the Netherlands; REVASCAT, randomized trial of revascularization with solitaire FR device versus best medical therapy in the treatment of acute stroke due to anterior circulation large vessel occlusion presenting within 8 hr of symptom onset; SWIFTPRIME, solitaire with the intention for thrombectomy as primary endovascular treatment.…”

Stroke Intervention: Geographic Disparities in Acute Stroke Care and the Role of Interventional Cardiology

“…There are several reports demonstrating the feasibility of offering safe and effective first medical contact stroke therapy by stroke teams consisting of carotid stent-capable interventional cardiologists and non-invasive neurologists ( Table 2). [26][27][28][29] Htyte et al 26 compared outcomes of interventional cardiologists versus neurointerventionalists in 124 consecutive acute stroke patients who received MT between 2006 and 2012. 26 The on-call interventional team (interventional cardiologists versus neurointerventionalists) rotated responsibility for stroke calls.…”

“…[26][27][28][29] Htyte et al 26 compared outcomes of interventional cardiologists versus neurointerventionalists in 124 consecutive acute stroke patients who received MT between 2006 and 2012. 26 The on-call interventional team (interventional cardiologists versus neurointerventionalists) rotated responsibility for stroke calls. The interventional cardiologists had extensive carotid stenting experience and teamed with a non-invasive stroke neurologist who was responsible for pre-and post-management decisions.…”