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Updated: Sep 10, 2025

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Interdisciplinary neurovascular networks in Germany: update 2025.

Tobias A Wagner-Altendorf1, Konrad Sieb1, Ansgar Berlis2

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Germany's neurovascular networks (NVNs) have expanded, treating over 120,000 patients annually. These networks ensure high-quality, nationwide stroke care through certified centers and partner hospitals.

Keywords:
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Area of Science:

  • Neurology
  • Public Health
  • Healthcare Systems

Background:

  • Neurovascular networks (NVNs) are supra-regional German care structures for neurovascular diseases.
  • Each NVN comprises a coordinating center and at least three partner hospitals.
  • 19 NVNs have been audited and certified since 2018, playing a key role in stroke care.

Purpose of the Study:

  • To provide an update on interdisciplinary NVNs in Germany.
  • To outline recent developments in neurovascular patient care.
  • To compare structural and quality parameters of NVNs over time.

Main Methods:

  • Analysis of audit reports from 19 NVNs certified between 2021 and 2024.
  • Comparison with previously reported data from 2017 to 2019.
  • Evaluation of structural and quality parameters for coordinating centers and partner hospitals.

Main Results:

  • NVNs increased from 15 to 19, treating ~120,000 of 262,000 estimated patients annually.
  • Thrombectomy rates at coordinating centers increased significantly (>4400 vs. <2500).
  • Surgical treatments for intracerebral hemorrhages rose; process times remained stable/slightly increased; partner hospital procedural volumes varied.

Conclusions:

  • Neurovascular disease patient care in Germany has expanded significantly within certified NVN hospitals.
  • NVNs are crucial for ensuring comprehensive, high-quality stroke care nationwide.