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Editorial
. 2020 Nov;96(6):1304-1305.
doi: 10.1002/ccd.29360.

A no-brainer

Rita M Butler  1 , William A Gray  1
Affiliations
Editorial

A no-brainer

Rita M Butler et al. Catheter Cardiovasc Interv. 2020 Nov.

Abstract

Endovascular therapy for acute ischemic stroke has become the mainstay of treatment for AIS due to large vessel occlusion, however, most stroke centers with neurointerventionalists are localized to urban areas leaving many patients hours away from revascularization. The study by Tamunoinemi and coauthors demonstrates EVT performed by carotid-capable interventional cardiologists can achieve procedural and clinical success rates comparable to those of neurointerventionalists. While ICs may provide an important role in increasing access to interventional stroke treatment in the future, a codified pathway to training and measures of competence will be critical.

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References

REFERENCES

    1. Sardar P, Chatterjee S, Giri J, et al. Endovascular therapy for acute ischaemic stroke: a systematic review and meta-analysis of randomized trials. Eur Heart J. 2015;36:2373-2380.
    1. Eskey CJ, Meyers PM, Nguyen TN, et al. AHA scientific statement: indications for the performance of intracranial endovascular Neurointerventional procedures. Circulation. 2018;137(12):e661-689.
    1. Powers WJ, Rabinstein AA, Ackerson T, et al. 2018 guidelines for the early management of patients with acute ischemic stroke a Guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke. 2018;49:e46-e99.
    1. Tamunoinemi BM, Hornung M, Guidera S, et al. Outcomes following endovascular therapy for acute stroke by interventional cardiologists. Catheter Cardiovasc Interv. 2020;96(6):1296-1303.

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