Consensus statements by Korean society of interventional neuroradiology and korean stroke society

Hyperacute endovascular treatment workflow to reduce door-to-reperfusion time

Dae Hyun Kim, Byungjun Kim, Cheolkyu Jung, Hyo Suk Nam, Jin Soo Lee, Jin Woo Kim, Woong Jae Lee, Woo Keun Seo, Jihoe Heo, Seung Kug Baik, Byungmoon Kim, Joung Ho Rha

Research output: Contribution to journalReview article

Abstract

Recent clinical trials demonstrated the clinical benefit of endovascular treatment (EVT) in patients with acute ischemic stroke due to large vessel occlusion. These trials confirmed that good outcome after EVT depends on the time interval from symptom onset to reperfusion and that in-hospital delay leads to poor clinical outcome. However, there has been no universally accepted in-hospital workflow and performance benchmark for rapid reperfusion. Additionally, wide variety in workflow for EVT is present between each stroke centers. In this consensus statement, Korean Society of Interventional Neuroradiology and Korean Stroke Society Joint Task Force Team propose a standard workflow to reduce door-to-reperfusion time for stroke patients eligible for EVT. This includes early stroke identification and pre-hospital notification to stroke team of receiving hospital in pre-hospital phase, the transfer of stroke patients from door of the emergency department to computed tomography (CT) room, warming call to neurointervention (NI) team for EVT candidate prior to imaging, NI team preparation in parallel with thrombolysis, direct transportation from CT room to angiography suite following immediate decision of EVT and standardized procedure for rapid reperfusion. Implementation of optimized workflow will improve stroke time process metrics and clinical outcome of the patient treated with EVT.

Original languageEnglish
Pages (from-to)838-848
Number of pages11
JournalKorean journal of radiology
Volume19
Issue number5
DOIs
Publication statusPublished - 2018 Sep 1

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Workflow
Reperfusion
Stroke
Therapeutics
Tomography
Benchmarking
Patient Transfer
Advisory Committees
Hospital Emergency Service
Angiography
Joints
Clinical Trials

All Science Journal Classification (ASJC) codes

  • Radiology Nuclear Medicine and imaging

Cite this

Kim, Dae Hyun ; Kim, Byungjun ; Jung, Cheolkyu ; Nam, Hyo Suk ; Lee, Jin Soo ; Kim, Jin Woo ; Lee, Woong Jae ; Seo, Woo Keun ; Heo, Jihoe ; Baik, Seung Kug ; Kim, Byungmoon ; Rha, Joung Ho. / Consensus statements by Korean society of interventional neuroradiology and korean stroke society : Hyperacute endovascular treatment workflow to reduce door-to-reperfusion time. In: Korean journal of radiology. 2018 ; Vol. 19, No. 5. pp. 838-848.
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abstract = "Recent clinical trials demonstrated the clinical benefit of endovascular treatment (EVT) in patients with acute ischemic stroke due to large vessel occlusion. These trials confirmed that good outcome after EVT depends on the time interval from symptom onset to reperfusion and that in-hospital delay leads to poor clinical outcome. However, there has been no universally accepted in-hospital workflow and performance benchmark for rapid reperfusion. Additionally, wide variety in workflow for EVT is present between each stroke centers. In this consensus statement, Korean Society of Interventional Neuroradiology and Korean Stroke Society Joint Task Force Team propose a standard workflow to reduce door-to-reperfusion time for stroke patients eligible for EVT. This includes early stroke identification and pre-hospital notification to stroke team of receiving hospital in pre-hospital phase, the transfer of stroke patients from door of the emergency department to computed tomography (CT) room, warming call to neurointervention (NI) team for EVT candidate prior to imaging, NI team preparation in parallel with thrombolysis, direct transportation from CT room to angiography suite following immediate decision of EVT and standardized procedure for rapid reperfusion. Implementation of optimized workflow will improve stroke time process metrics and clinical outcome of the patient treated with EVT.",
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Consensus statements by Korean society of interventional neuroradiology and korean stroke society : Hyperacute endovascular treatment workflow to reduce door-to-reperfusion time. / Kim, Dae Hyun; Kim, Byungjun; Jung, Cheolkyu; Nam, Hyo Suk; Lee, Jin Soo; Kim, Jin Woo; Lee, Woong Jae; Seo, Woo Keun; Heo, Jihoe; Baik, Seung Kug; Kim, Byungmoon; Rha, Joung Ho.

In: Korean journal of radiology, Vol. 19, No. 5, 01.09.2018, p. 838-848.

Research output: Contribution to journalReview article

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AU - Jung, Cheolkyu

AU - Nam, Hyo Suk

AU - Lee, Jin Soo

AU - Kim, Jin Woo

AU - Lee, Woong Jae

AU - Seo, Woo Keun

AU - Heo, Jihoe

AU - Baik, Seung Kug

AU - Kim, Byungmoon

AU - Rha, Joung Ho

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