Systematic Review of the Cost and Cost-Effectiveness of Rapid Endovascular Therapy for Acute Ischemic Stroke

Abstract

There is a robust body of evidence for the cost and cost-effectiveness of EVT. The cost analyses suggested that although EVT was associated with higher costs, it also resulted in improved patient outcomes. From the cost-effectiveness studies, EVT seems to be good value for money when a threshold of $50 000 per quality-adjusted life year gained is adopted.

Factors Associated with Stroke Misdiagnosis in the Emergency Department: A Retrospective Case-Control Study

“…We cannot exclude that the vast majority would have been deemed "ineligible" even if they were accurately diagnosed. However, advances in endovascular intervention for large vessel occlusion and recent extension of the therapeutic window beyond 6 h from time of stroke onset [20,21], has potential major health economic and medicolegal implications [4,5] if an eligible patient is not offered acute intervention because of a misdiagnosis.…”

“…The advent of pivotal evidence-based acute stroke therapies including intravenous thrombolysis (IVT) and endovascular thrombectomy for large vessel occlusion has resulted in a major reduction in long-term morbidity [2,3]. Prompt access and utilisation of acute stroke intervention(s) has potential for major health and economic benefits [4].…”

Australian students’ perspective on interventional radiology education: A prospective cross‐institutional study

“…vertebroplasty for pain), minimally invasive procedures are important in holistic longitudinal patient care and can ultimately confer a cost‐effective improvement in quality‐adjusted life‐years (e.g. EVT for acute ischemic stroke, sclerotherapy for vascular malformations) . Having ‘core’ IR knowledge to deliver such care may be potentiated by the introduction of IR in medical school …”

“…EVT for acute ischemic stroke, sclerotherapy for vascular malformations). 12,13 Having 'core' IR knowledge to deliver such care may be potentiated by the introduction of IR in medical school. 1,14 Having established that there is an intrinsic and extrinsic demand for improved IR knowledge among medical students, it is pertinent to next consider whether it is effective to teach IR at a medical school level.…”

CIRSE Position Statement: Interventional Radiologists and Intra-arterial Stroke Therapy

“…Successful intra-arterial stroke therapy reduces the number of patients who will be dependent on care or live in nursing homes. This will lead to significant cost savings in social care budgets across Europe, rendering the treatment highly cost-effective [9]. As a result of these evidence-based favourable outcomes, there is an increasing demand to adapt acute stroke management systems in order to make EVT available for as many acute ischaemic stroke patients as possible.…”