TY - JOUR
T1 - Performance and Training Standards for Endovascular Ischemic Stroke Treatment
AU - Meyers, Philip M.
AU - Schumacher, H. Christian
AU - Alexander, Michael J.
AU - Derdeyn, Colin P.
AU - Furlan, Anthony J.
AU - Higashida, Randall T.
AU - Moran, Christopher J.
AU - Tarr, Robert W.
AU - Heck, Donald V.
AU - Hirsch, Joshua A.
AU - Jensen, Mary E.
AU - Linfante, Italo
AU - McDougall, Cameron G.
AU - Nesbit, Gary M.
AU - Rasmussen, Peter A.
AU - Tomsick, Thomas A.
AU - Wechsler, Lawrence R.
AU - Wilson, John R.
AU - Zaidat, Osama O.
PY - 2009/11
Y1 - 2009/11
N2 - Stroke is the third-leading cause of death in the United States, Canada, Europe, and Japan. According to the American Heart Association and the American Stroke Association, 750,000 new strokes occur each year, resulting in 200,000 deaths (or 1 of every 16 deaths) per year in the United States alone. Endovascular therapy for patients with acute ischemic stroke is an area of intense investigation. The American Stroke Association has given a qualified endorsement of intra-arterial (IA) thrombolysis in selected patients. IA thrombolysis has been studied in 2 randomized trials and numerous case series. Although 2 devices have been granted FDA 3 approval with an indication for mechanical stroke thrombectomy, none of these devices has demonstrated efficacy in improving patient outcomes. This report defines what constitutes adequate training to perform neuroendovascular procedures in patients with acute ischemic stroke and identifies the performance standards that should be adopted to assess outcomes. These guidelines have been written and approved by multiple neuroscience societies that historically have been directly involved in the medical, surgical, and endovascular care of patients with acute stroke, including the Neurovascular Coalition and its participating societies: the Society of NeuroInterventional Surgery; American Academy of Neurology; American Association of Neurological Surgeons, Cerebrovascular Section; and Society of Vascular & Interventional Neurology.
AB - Stroke is the third-leading cause of death in the United States, Canada, Europe, and Japan. According to the American Heart Association and the American Stroke Association, 750,000 new strokes occur each year, resulting in 200,000 deaths (or 1 of every 16 deaths) per year in the United States alone. Endovascular therapy for patients with acute ischemic stroke is an area of intense investigation. The American Stroke Association has given a qualified endorsement of intra-arterial (IA) thrombolysis in selected patients. IA thrombolysis has been studied in 2 randomized trials and numerous case series. Although 2 devices have been granted FDA 3 approval with an indication for mechanical stroke thrombectomy, none of these devices has demonstrated efficacy in improving patient outcomes. This report defines what constitutes adequate training to perform neuroendovascular procedures in patients with acute ischemic stroke and identifies the performance standards that should be adopted to assess outcomes. These guidelines have been written and approved by multiple neuroscience societies that historically have been directly involved in the medical, surgical, and endovascular care of patients with acute stroke, including the Neurovascular Coalition and its participating societies: the Society of NeuroInterventional Surgery; American Academy of Neurology; American Association of Neurological Surgeons, Cerebrovascular Section; and Society of Vascular & Interventional Neurology.
KW - Stroke
KW - endovascular
KW - endovascular therapy
KW - fellowship
KW - intra-arterial
KW - performance
KW - training standards
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UR - http://www.scopus.com/inward/citedby.url?scp=70449507067&partnerID=8YFLogxK
U2 - 10.1016/j.jstrokecerebrovasdis.2009.08.001
DO - 10.1016/j.jstrokecerebrovasdis.2009.08.001
M3 - Article
C2 - 19900641
AN - SCOPUS:70449507067
SN - 1052-3057
VL - 18
SP - 411
EP - 415
JO - Journal of Stroke and Cerebrovascular Diseases
JF - Journal of Stroke and Cerebrovascular Diseases
IS - 6
ER -