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Mechanical Thrombectomy Access for All? Challenges in Increasing Endovascular Treatment for Acute Ischemic Stroke in the United States.
Aroor, Sushanth Rao; Asif, Kaiz S; Potter-Vig, Jennifer; Sharma, Arun; Menon, Bijoy K; Inoa, Violiza; Zevallos, Cynthia B; Romano, Jose G; Ortega-Gutierrez, Santiago; Goldstein, Larry B; Yavagal, Dileep R.
Afiliación
  • Aroor SR; Department of Neurology, Rutgers New Jersey Medical School, Newark, NJ, USA.
  • Asif KS; Department of Neurosurgery, University of Illinois and AMITA Health, Chicago, IL, USA.
  • Potter-Vig J; Society of Vascular and Interventional Neurology, St. Cloud, MN, USA.
  • Sharma A; University of Miami, Herbert Business School, Miami, FL, USA.
  • Menon BK; Hotchkiss Brain Institute, Cummings School of Medicine, University of Calgary, Calgary, AB, Canada.
  • Inoa V; Semmes Murphey Clinic, University of Tennessee Health Science Center, Memphis, TN, USA.
  • Zevallos CB; Department of Neurology, University of Iowa Hospital and Clinics, Iowa City, IA, USA.
  • Romano JG; Department of Neurology, University of Miami Miller School of Medicine, Miami, FL, USA.
  • Ortega-Gutierrez S; Department of Neurology, University of Iowa Hospital and Clinics, Iowa City, IA, USA.
  • Goldstein LB; Department of Neurology, University of Kentucky College of Medicine, Lexington, KY, USA.
  • Yavagal DR; Department of Neurology, University of Miami Miller School of Medicine, Miami, FL, USA.
J Stroke ; 24(1): 41-48, 2022 Jan.
Article en En | MEDLINE | ID: mdl-35135058
Mechanical thrombectomy (MT) is the most effective treatment for selected patients with an acute ischemic stroke due to emergent large vessel occlusions (LVOs). There is an urgent need to identify and address challenges in access to MT to maximize the numbers of patients who can benefit from this treatment. Barriers in access to MT include delays in evaluation and accurate diagnosis of LVO leading to inappropriate triage, logistical delays related to availability of facilities and trained interventionalists, and financial hurdles that affect treatment reimbursement. Collection of regional data related to these barriers is critical to better understand current access gaps and a measurable access score to thrombectomy could be useful to plan local public health intervention.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Prognostic_studies Aspecto: Equity_inequality Idioma: En Revista: J Stroke Año: 2022 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Corea del Sur

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Prognostic_studies Aspecto: Equity_inequality Idioma: En Revista: J Stroke Año: 2022 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Corea del Sur