Logistical and financial obstacles for endovascular therapy of acute stroke implementation

被引：4
|
作者：
Schellinger, Peter D. [1 ,2 ]
Koehrmann, Martin [3 ]
Nogueira, Raul G. [4 ,5 ,6 ]
机构：
[1] Johannes Wesling Med Ctr Minden, Dept Neurol, Hans Nolte Str 1, D-32429 Minden, Germany
[2] Johannes Wesling Med Ctr Minden, Dept Neurogeriatry, Minden, Germany
[3] Univ Clin Erlangen, Erlangen, Germany
[4] Emory Univ, Sch Med, Atlanta, GA 30322 USA
[5] Marcus Stroke & Neurosci Ctr, Atlanta, GA USA
[6] Grady Mem Hosp, Atlanta, GA USA
来源：
INTERNATIONAL JOURNAL OF STROKE | 2016年 / 11卷 / 05期
关键词：
Acute stroke therapy; cerebral infarction; intervention; ischaemic stroke; reperfusion; stroke; stroke facilities; thrombolysis; ACUTE ISCHEMIC-STROKE; COST-UTILITY ANALYSIS; INTRAVENOUS T-PA; INTRAARTERIAL TREATMENT; MECHANICAL THROMBECTOMY; PLASMINOGEN-ACTIVATOR; CARE; METAANALYSIS; REGIONALIZATION; REPERFUSION;
D O I：
10.1177/1747493016641959
中图分类号：
R74 [神经病学与精神病学];
学科分类号：
摘要：
After publication of the recent positive randomized clinical endovascular trials, several questions and obstacles for wide spread implementation remain. We address specific issues namely efficacy, safety, logistics, timing, sedation, numbers, imaging, manpower, centers, geographics, and economical aspects of endovascular therapy. As we move forward, a high degree of collaboration will be crucial to implement a therapy with established overwhelming treatment efficacy for severe acute stroke patients.
引用
收藏
页码：502 / 508
页数：7
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