Specialist Perspectives on the Imaging Selection of Large Vessel Occlusion in the Late Window

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Title: Specialist Perspectives on the Imaging Selection of Large Vessel Occlusion in the Late Window
Authors: Klein, Piers, Huo, Xiaochuan, Chen, Yimin, Abdalkader, Mohamad, Qiu, Zhongming, Nagel, Simon, Raymond, Jean, Liu, Liping, Siegler, James E, Strbian, Daniel, Field, Thalia S, Yaghi, Shadi, Qureshi, Muhammad M, Demeestere, Jelle, Puetz, Volker, Berberich, Anne, Michel, Patrik, Fischer, Urs, Kaesmacher, Johannes, Yamagami, Hiroshi, Alemseged, Fana, Tsivgoulis, Georgios, Schonewille, Wouter J, Hu, Wei, Liu, Xinfeng, Li, Chuanhui, Ji, Xunming, Drumm, Brian, Banerjee, Soma, Sacco, Simona, Sandset, Else C, Kristoffersen, Espen Saxhaug, Slade, Peter, Mikulik, Robert, Romoli, Michele, Diana, Francesco, Krishnan, Kailash, Dhillon, Permesh, Lee, Jin Soo, Kasper, Ekkehard, Dasenbrock, Hormuzdiyar, Ton, Mai Duy, Masiliūnas, Rytis, Arsovska, Anita Ante, Marto, João Pedro, Dmytriw, Adam A, Regenhardt, Robert W, Silva, Gisele Sampaio, Siepmann, Timo, Sun, Dapeng, Sang, Hongfei, Diestro, Jose Danilo, Yang, Pengfei, Mohammaden, Mahmoud H, Li, Fengli, Masoud, Hesham E, Ma, Alice, Raynald, null, Ganesh, Aravind, Liu, Jianmin, Meyer, Lukas, Dippel, Diederik W J, Thomalla, Götz, Parsons, Mark, Qureshi, Adnan I, Goyal, Mayank, Yoo, Albert J, Lapergue, Bertrand, Zaidat, Osama O, Chen, Hui-Sheng, Campbell, Bruce C V, Jovin, Tudor G, Nogueira, Raul G, Miao, Zhongrong, Saposnik, Gustavo, Nguyen, Thanh N
Source: Clin Neuroradiol
Clinical neuroradiology, vol. 33, no. 3, pp. 801-811
Publisher Information: Springer Science and Business Media LLC, 2023.
Publication Year: 2023
Subject Terms: Stroke, Treatment Outcome, Computed Tomography Angiography, Endovascular Procedures, Humans, Brain Ischemia/surgery, Endovascular Procedures/methods, Stroke/diagnostic imaging, Stroke/surgery, Tomography, X-Ray Computed/methods, Computed Tomography Angiography/methods, Thrombectomy/methods, ASPECTS, Endovascular thrombectomy, Large vessel occlusion, Late window, Mechanical thrombectomy, Original Article, Tomography, X-Ray Computed, 3. Good health, Brain Ischemia, Thrombectomy
Description: The proper imaging modality for use in the selection of patients for endovascular thrombectomy (EVT) presenting in the late window remains controversial, despite current guidelines advocating the use of advanced imaging in this population. We sought to understand if clinicians with different specialty training differ in their approach to patient selection for EVT in the late time window.We conducted an international survey of stroke and neurointerventional clinicians between January and May 2022 with questions focusing on imaging and treatment decisions of large vessel occlusion (LVO) patients presenting in the late window. Interventional neurologists, interventional neuroradiologists, and endovascular neurosurgeons were defined as interventionists whereas all other specialties were defined as non-interventionists. The non-interventionist group was defined by all other specialties of the respondents: stroke neurologist, neuroradiologist, emergency medicine physician, trainee (fellows and residents) and others.Of 3000 invited to participate, 1506 (1027 non-interventionists, 478 interventionists, 1 declined to specify) physicians completed the study. Interventionist respondents were more likely to proceed directly to EVT (39.5% vs. 19.5%; p
Document Type: Article
Other literature type
File Description: application/pdf
Language: English
ISSN: 1869-1447
1869-1439
DOI: 10.1007/s00062-023-01284-0
Access URL: https://pubmed.ncbi.nlm.nih.gov/37010551
https://serval.unil.ch/notice/serval:BIB_1A66F53E8067
http://nbn-resolving.org/urn/resolver.pl?urn=urn:nbn:ch:serval-BIB_1A66F53E80679
https://serval.unil.ch/resource/serval:BIB_1A66F53E8067.P001/REF.pdf
https://hdl.handle.net/11697/207559
https://doi.org/10.1007/s00062-023-01284-0
Rights: Springer Nature TDM
Accession Number: edsair.doi.dedup.....f2d8b160632db4fb810c60d4955fd0a8
Database: OpenAIRE
Description
Abstract:The proper imaging modality for use in the selection of patients for endovascular thrombectomy (EVT) presenting in the late window remains controversial, despite current guidelines advocating the use of advanced imaging in this population. We sought to understand if clinicians with different specialty training differ in their approach to patient selection for EVT in the late time window.We conducted an international survey of stroke and neurointerventional clinicians between January and May 2022 with questions focusing on imaging and treatment decisions of large vessel occlusion (LVO) patients presenting in the late window. Interventional neurologists, interventional neuroradiologists, and endovascular neurosurgeons were defined as interventionists whereas all other specialties were defined as non-interventionists. The non-interventionist group was defined by all other specialties of the respondents: stroke neurologist, neuroradiologist, emergency medicine physician, trainee (fellows and residents) and others.Of 3000 invited to participate, 1506 (1027 non-interventionists, 478 interventionists, 1 declined to specify) physicians completed the study. Interventionist respondents were more likely to proceed directly to EVT (39.5% vs. 19.5%; p
ISSN:18691447
18691439
DOI:10.1007/s00062-023-01284-0