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A no-brainer.

Rita M Butler1, William A Gray1

  • 1Interventional Cardiology, Lankenau Heart Institute, Wynnewood, Pennsylvania.

Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions
|November 20, 2020
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Summary
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Interventional cardiologists can perform endovascular therapy for acute ischemic stroke, achieving success rates similar to neurointerventionalists. This approach may improve access to stroke treatment, but requires standardized training and competence measures.

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Area of Science:

  • Neurology
  • Cardiology
  • Interventional Radiology

Background:

  • Endovascular therapy (EVT) is crucial for acute ischemic stroke (AIS) with large vessel occlusion.
  • Limited access to neurointerventionalists in rural areas hinders timely treatment.
  • Interventional cardiologists (ICs) possess relevant skills for EVT.

Discussion:

  • This study evaluated the efficacy of EVT performed by carotid-capable ICs compared to neurointerventionalists.
  • Procedural and clinical success rates were analyzed.
  • Patient outcomes and safety profiles were assessed.

Key Insights:

  • Interventional cardiologists achieved comparable procedural and clinical success rates to neurointerventionalists in EVT for AIS.
  • EVT by ICs demonstrates feasibility and effectiveness in treating AIS.
  • This finding suggests a potential solution to improve geographic access to stroke revascularization.

Outlook:

  • ICs could significantly expand access to EVT for AIS, especially in underserved regions.
  • Development of a codified training pathway for ICs in stroke intervention is essential.
  • Establishing clear competence measures will ensure patient safety and treatment quality.