Interdisciplinary neurovascular networks in Germany: update 2025
Tobias A Wagner-Altendorf1, Konrad Sieb1, Ansgar Berlis2
1Department of Neurology, University Hospital Schleswig-Holstein, Ratzeburger Allee 160, 23538, Lübeck, Germany.
Neurological Research and Practice
|August 23, 2025
Summary
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.
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.
Keywords:
Carotid endarterectomyCarotid stentingIntracranial aneurysmNeurovascular networksStroke careThrombectomyThrombolysisMore Related Videos
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