Endovascular thrombectomy at low‐volume centres: A Bayesian solution

• DOI: 10.1111/ane.13252
• Publication Date: 2020-04-13T20:19:53Z
• Authors: Mehdi K. Rezai; Rajiv Advani; Knut Olav Sandve; Lars Fjetland; Kathinka D. Kurz; Martin W. Kurz
• Keywords: Stroke

Endovascular treatment (EVT) is traditionally performed by neurointerventional radiologists at tertiary medical centres imposing long transport ways to large vessel occlusion (LVO) stroke patients in rural areas. The purpose of this study evaluate the technical and clinical results over time Stavanger University Hospital, a hospital without expertise, where trained general interventional radiologist performs EVT.All with LVO treated EVT from May 2009 December 2018 were included analysis. Technical outcome was measured modified cerebral ischaemia (mTICI) score, functional Rankin Scale (mRS), complications registered.A total 235 EVT. An angiographically good result (mTICI 2b or 3) could be seen 66.7% first year. In 2011, year stent retrievers introduced, recanalization rate rose 81.8%, 2014 onwards, it stable around 80%. After introduction aspiration together 2012, (mRS 0-2) obtained >40% patients. 2018, 61.1% got outcome.Endovascular vascular close collaboration diagnostic neuroradiologists neurologists can achieve revascularization patient outcomes line international recommendations, randomized controlled studies performed. This approach may help introduce geographical areas service lacking due absence specialists.