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A multicenter study evaluating the frequency and time requirement of mechanical thrombectomy.
Wilson, Taylor A; Leslie-Mazwi, Thabele; Hirsch, Joshua A; Frey, Casey; Kim, Teddy E; Spiotta, Alejandro M; Leacy, Reade de; Mocco, J; Albuquerque, Felipe C; Ducruet, Andrew F; Cheema, Ahmed; Arthur, Adam; Srinivasan, Visish M; Kan, Peter; Mokin, Maxim; Dumont, Travis; Rai, Ansaar; Singh, Jasmeet; Wolfe, Stacey Q; Fargen, Kyle M.
Afiliación
  • Wilson TA; Department of Neurological Surgery, Wake Forest University, Winston-Salem, NC, USA.
  • Leslie-Mazwi T; Department of Interventional Neuroradiology, Massachusetts General Hospital, Boston, MA, USA.
  • Hirsch JA; Department of Interventional Neuroradiology, Massachusetts General Hospital, Boston, MA, USA.
  • Frey C; Department of Neurological Surgery, Wake Forest University, Winston-Salem, NC, USA.
  • Kim TE; Department of Neurological Surgery, Wake Forest University, Winston-Salem, NC, USA.
  • Spiotta AM; Department of Neurosurgery, Medical University of South Carolina, Charleston, SC, USA.
  • Leacy R; Department of Neurosurgery, Mount Sinai Hospital, New York, NY, USA.
  • Mocco J; Department of Neurosurgery, Mount Sinai Hospital, New York, NY, USA.
  • Albuquerque FC; Department of Neurosurgery, Barrow Neurological Institute, Phoenix, AZ, USA.
  • Ducruet AF; Department of Neurosurgery, Barrow Neurological Institute, Phoenix, AZ, USA.
  • Cheema A; Department of Neurosurgery, University of Tennessee/Semmes-Murphy Clinic, Memphis, TN, USA.
  • Arthur A; Department of Neurosurgery, University of Tennessee/Semmes-Murphy Clinic, Memphis, TN, USA.
  • Srinivasan VM; Department of Neurosurgery, Baylor College of Medicine, Houston, TX, USA.
  • Kan P; Department of Neurosurgery, Baylor College of Medicine, Houston, TX, USA.
  • Mokin M; Department of Neurosurgery, University of South Florida, Tampa, FL, USA.
  • Dumont T; Department of Neurosurgery, University of Arizona, Tucson, AZ, USA.
  • Rai A; Department of Radiology, West Virginia University, Morgantown, WV, USA.
  • Singh J; Department of Neurological Surgery, Wake Forest University, Winston-Salem, NC, USA.
  • Wolfe SQ; Department of Neurological Surgery, Wake Forest University, Winston-Salem, NC, USA.
  • Fargen KM; Department of Neurological Surgery, Wake Forest University, Winston-Salem, NC, USA.
J Neurointerv Surg ; 10(3): 235-239, 2018 Mar.
Article en En | MEDLINE | ID: mdl-28600482
INTRODUCTION: There are few published data evaluating the incidence of mechanical thrombectomy among stroke centers or the times at which they occur. METHODS: A multicenter retrospective study was performed to identify all patients undergoing emergent thrombectomy for acute ischemic stroke during a 3-month period (June through August 2016). Consultations that did not undergo thrombectomy were not included. RESULTS: Ten institutions participated in the study. During the 92-day study period, a total of 189 patients underwent mechanical thrombectomy. The average number of procedures per hospital over the study period was 18.9 (average of 0.2 cases per day per or 75.6 cases per year). This ranged from 0.09 cases per day at the lowest volume center to 0.49 cases per day at the highest volume center. Procedures were more common on weekdays (p<0.001) and during non-work hours (p<0.001). The most common period for thrombectomy procedures was between 20:00 and 21:00 hours. The median time from notification to groin puncture was 84 min (IQR 56-145 min) and from puncture to closure was 57 min (IQR 33-80 min). The median time from imaging completion to procedural start was 52 min longer for non-work hours than during work hours (p<0.001). There were no differences in procedural length based on day of the week or time of day. CONCLUSIONS: These findings indicate that the majority of mechanical thrombectomy cases occur during non-work hours, with associated off-hours delays, which has important operational implications for hospitals implementing stroke call coverage.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Isquemia Encefálica / Trombectomía / Accidente Cerebrovascular / Tempo Operativo Tipo de estudio: Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: J Neurointerv Surg Año: 2018 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Isquemia Encefálica / Trombectomía / Accidente Cerebrovascular / Tempo Operativo Tipo de estudio: Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: J Neurointerv Surg Año: 2018 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido