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Review
. 2022 Jun 9:17:e07.
doi: 10.15420/icr.2021.35. eCollection 2022 Jan.

Can Interventional Cardiologists Help Deliver the UK Mechanical Thrombectomy Interventional Programme for Patients with Acute Ischaemic Stroke? A Discussion Paper from the British Cardiovascular Interventional Society Stroke Thrombectomy Focus Group

Helen Routledge  1 , Andrew Sp Sharp  2   3 , Jan Kovac  4 , Mark Westwood  5 , Thomas R Keeble  6   7 , Raj Bathula  8 , Hany Eteiba  9 , Iris Q Grunwald  10   11 , Nick Curzen  12   13
Affiliations
Review

Can Interventional Cardiologists Help Deliver the UK Mechanical Thrombectomy Interventional Programme for Patients with Acute Ischaemic Stroke? A Discussion Paper from the British Cardiovascular Interventional Society Stroke Thrombectomy Focus Group

Helen Routledge et al. Interv Cardiol. .

Abstract

There is a willingness among UK interventional cardiologists to contribute to provision of a 24/7 mechanical thrombectomy (MT) service for all suitable stroke patients if given the appropriate training. This highly effective intervention remains unavailable to the majority of patients who might benefit, partly because there is a limited number of trained specialists. As demonstrated in other countries, interdisciplinary working can be the solution and an opportunity to achieve this is outlined in this article.

Keywords: Ischaemic stroke; interventional cardiology; mechanical thrombectomy.

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Conflict of interest statement

Disclosure: ASPS and NC are on the Interventional Cardiology editorial board; this did not influence peer review. All other authors have no conflicts of interest to declare.

Figures

Figure 1:
Figure 1:. Current Access to Existing Neuroscience Centres
Figure 2:
Figure 2:. Schematic for Training Interventional Cardiologists in Stroke Thrombectomy Procedures
See this image and copyright information in PMC

References

    1. Sentinel Stroke National Audit Programme. Sentinel Stroke National Audit Programme National Results 2020–21. https://www.strokeaudit.org/results/Clinical-audit/National-Results.aspx (accessed 12 May 2022)
    1. Del Zoppo GJ, Poeck K, Pessin MS et al. Recombinant tissue plasminogen activator in acute thrombotic and embolic stroke. Ann Neurol. 1992;32:78–86. doi: 10.1002/ana.410320113. - DOI - PubMed
    1. Goyal M, Menon BK, van Zwam WH et al. Endovascular thrombectomy after large-vessel ischaemic stroke: a meta-analysis of individual patient data from five randomised trials. Lancet. 2016;387:1723–31. doi: 10.1016/S0140-6736(16)00163-X. - DOI - PubMed
    1. National Institute of Health and Care Excellence. Stroke and transient ischaemic attack in over 16s: diagnosis and initial management (NG128). London: NICE, 2019. https://www.nice.org.uk/guidance/ng128 (accessed 19 April 2022) - PubMed
    1. Albers GW, Marks MP, Kemp S et al. Thrombectomy for stroke at 6 to 16 hours with selection by perfusion imaging. N Engl J Med. 2018;378:708–18. doi: 10.1056/NEJMoa1713973. - DOI - PMC - PubMed