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 |
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| 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 |
| 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 |
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| ISSN: | 18691447 18691439 |
| DOI: | 10.1007/s00062-023-01284-0 |
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