Direct to Angiography vs Repeated Imaging Approaches in Transferred Patients Undergoing Endovascular Thrombectomy.

ABSTRACT:

Importance

A direct to angiography (DTA) treatment paradigm without repeated imaging for transferred patients with large vessel occlusion (LVO) may reduce time to endovascular thrombectomy (EVT). Whether DTA is safe and associated with better outcomes in the late (>6 hours) window is unknown. Also, DTA feasibility and effectiveness in reducing time to EVT during on-call vs regular-work hours and the association of interfacility transfer times with DTA outcomes have not been established.

Objective

To evaluate the functional and safety outcomes of DTA vs repeated imaging in the different treatment windows and on-call hours vs regular hours.

Design, setting, and participants

This pooled retrospective cohort study at 6 US and European comprehensive stroke centers enrolled

SUBMITTER: Sarraj A 

PROVIDER: S-EPMC8204255 | biostudies-literature | 2021 Aug

REPOSITORIES: biostudies-literature