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Consensus Statements by Korean Society of Interventional Neuroradiology and Korean Stroke Society: Hyperacute Endovascular Treatment Workflow to Reduce Door-to-Reperfusion Time

 Dae-Hyun Kim  ;  Byungjun Kim  ;  Cheolkyu Jung  ;  Hyo Suk Nam  ;  Jin Soo Lee  ;  Jin Woo Kim  ;  Woong Jae Lee  ;  Woo-Keun Seo  ;  Ji-Hoe Heo  ;  Seung Kug Baik  ;  Byung Moon Kim  ;  Joung-Ho Rha 
 KOREAN JOURNAL OF RADIOLOGY, Vol.19(5) : 838-848, 2018 
Journal Title
Issue Date
Angiography ; Brain/diagnostic imaging ; Consensus* ; Emergency Medical Services ; Endovascular Procedures/methods* ; Humans ; Societies, Medical ; Stroke/diagnosis ; Stroke/therapy* ; Thrombectomy ; Tomography, X-Ray Computed
Door-to-reperfusion time ; Endovascular treatment ; Hyperacute stroke ; Pre-hospital notification
Recent clinical trials demonstrated the clinical benefit of endovascular treatment (EVT) in patients with acute ischemic stroke due to large vessel occlusion. These trials confirmed that good outcome after EVT depends on the time interval from symptom onset to reperfusion and that in-hospital delay leads to poor clinical outcome. However, there has been no universally accepted in-hospital workflow and performance benchmark for rapid reperfusion. Additionally, wide variety in workflow for EVT is present between each stroke centers. In this consensus statement, Korean Society of Interventional Neuroradiology and Korean Stroke Society Joint Task Force Team propose a standard workflow to reduce door-to-reperfusion time for stroke patients eligible for EVT. This includes early stroke identification and pre-hospital notification to stroke team of receiving hospital in pre-hospital phase, the transfer of stroke patients from door of the emergency department to computed tomography (CT) room, warming call to neurointervention (NI) team for EVT candidate prior to imaging, NI team preparation in parallel with thrombolysis, direct transportation from CT room to angiography suite following immediate decision of EVT and standardized procedure for rapid reperfusion. Implementation of optimized workflow will improve stroke time process metrics and clinical outcome of the patient treated with EVT.
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1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Neurology (신경과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Byung Moon(김병문) ORCID logo https://orcid.org/0000-0001-8593-6841
Nam, Hyo Suk(남효석) ORCID logo https://orcid.org/0000-0002-4415-3995
Heo, Ji Hoe(허지회) ORCID logo https://orcid.org/0000-0001-9898-3321
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