Interdisciplinary Rendez-Vous Approach in Endovascular Stroke Treatment: A New Concept to Accelerate Mechanical Thrombectomy in Primary Stroke Centers
Purpose Prompt endovascular treatment of patients with stroke due to intracranial Large Vessel Occlusion (LVO) is a major challenge in rural areas because neurointerventionalists are usually not available. As a result, treatment is delayed, and clinical outcomes are worse compared with patients prim...
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| Veröffentlicht in: | Cardiovascular and interventional radiology 2024-01, Vol.47 (1), p.109-114 |
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| creator | Krug, Nadja Braun, Holger Knez, Andreas Auerbach, Holger Bodenberger, Stephen Eglseder, Bettina Kirschke, Jan Boeckh-Behrens, Tobias Wunderlich, Silke Henninger, Julia Boy, Sandra Renz, Martin Sepp, Dominik Zimmer, Claus Maegerlein, Christian |
| description | Purpose
Prompt endovascular treatment of patients with stroke due to intracranial Large Vessel Occlusion (LVO) is a major challenge in rural areas because neurointerventionalists are usually not available. As a result, treatment is delayed, and clinical outcomes are worse compared with patients primarily treated in comprehensive stroke centers (CSC). To address this problem, we present a concept in which interdisciplinary, on-site endovascular treatment is performed in a Primary Stroke Center (PSC) by a team of interventional neuroradiologists and cardiologists: the Rendez-Vous approach.
Methods
Thirty-five patients with LVO who underwent interdisciplinary thrombectomy on-site at the PSC as part of the Rendez-Vous concept were compared with 72 patients who were transferred from a PSCs to the CSC for thrombectomy when diagnosed with LVO in terms of temporal sequences and clinical outcomes.
Results
Patients treated on-site at the PSC as part of the Rendez-Vous approach were managed as successfully and without an increase in complication rates compared with patients treated secondarily at a CSC (91.7% successful interventions in Rendez-Vous vs. 87.3% in control group,
p
= 0.57). The time from diagnosis of LVO to groin puncture was reduced by mean 74.3 min with the Rendez-Vous concept (
p
|
| doi_str_mv | 10.1007/s00270-023-03610-y |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_10769944</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2892658735</sourcerecordid><originalsourceid>FETCH-LOGICAL-c475t-ec67ee46b0835c5082924e7f2807a8b37d848278e91282299a46c74fcb346d433</originalsourceid><addsrcrecordid>eNp9kU1v1DAQhiMEokvhD3BAlrhwCfgrsc0FrValVCofggVxsxxntpuS2MF2Wi0_hN-Llyzl48BpDvPO887MWxQPCX5KMBbPIsZU4BJTVmJWE1zubhULwhktsaw_3y4WmAhekqoiR8W9GC8xJpWk1d3iiAkllZByUXw_cwlC20XbjX3nTNih9-Ba-FZ-8lNEy3EM3tgt6hw6ca2_MtFOvQnoQwr-C6B1AJMGcOk5WqI3cI1W3lkYE0oeLa2FHoJJgF6D3RrXWdOj9Tb4oQGb_LDbU9-Fbti7HoAr2O8T7xd3NqaP8OBQj4uPL0_Wq1fl-dvTs9XyvLRcVKkEWwsAXjdYsspWWFJFOYgNlVgY2TDRSi6pkKAIlZQqZXhtBd_YhvG65YwdFy9m7jg1A7Q2uwfT63FeSnvT6b87rtvqC3-lCRa1UpxnwpMDIfivE8Skh_xM6HvjIH9QU6loXUnBqix9_I_00k_B5fs0VRmIGeEqq-isssHHGGBzsw3Bep-7nnPXOXf9M3e9y0OP_rzjZuRX0FnAZkHMLXcB4bf3f7A_ABshu6M</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2910703149</pqid></control><display><type>article</type><title>Interdisciplinary Rendez-Vous Approach in Endovascular Stroke Treatment: A New Concept to Accelerate Mechanical Thrombectomy in Primary Stroke Centers</title><source>MEDLINE</source><source>SpringerLink Journals - AutoHoldings</source><creator>Krug, Nadja ; Braun, Holger ; Knez, Andreas ; Auerbach, Holger ; Bodenberger, Stephen ; Eglseder, Bettina ; Kirschke, Jan ; Boeckh-Behrens, Tobias ; Wunderlich, Silke ; Henninger, Julia ; Boy, Sandra ; Renz, Martin ; Sepp, Dominik ; Zimmer, Claus ; Maegerlein, Christian</creator><creatorcontrib>Krug, Nadja ; Braun, Holger ; Knez, Andreas ; Auerbach, Holger ; Bodenberger, Stephen ; Eglseder, Bettina ; Kirschke, Jan ; Boeckh-Behrens, Tobias ; Wunderlich, Silke ; Henninger, Julia ; Boy, Sandra ; Renz, Martin ; Sepp, Dominik ; Zimmer, Claus ; Maegerlein, Christian</creatorcontrib><description>Purpose
Prompt endovascular treatment of patients with stroke due to intracranial Large Vessel Occlusion (LVO) is a major challenge in rural areas because neurointerventionalists are usually not available. As a result, treatment is delayed, and clinical outcomes are worse compared with patients primarily treated in comprehensive stroke centers (CSC). To address this problem, we present a concept in which interdisciplinary, on-site endovascular treatment is performed in a Primary Stroke Center (PSC) by a team of interventional neuroradiologists and cardiologists: the Rendez-Vous approach.
Methods
Thirty-five patients with LVO who underwent interdisciplinary thrombectomy on-site at the PSC as part of the Rendez-Vous concept were compared with 72 patients who were transferred from a PSCs to the CSC for thrombectomy when diagnosed with LVO in terms of temporal sequences and clinical outcomes.
Results
Patients treated on-site at the PSC as part of the Rendez-Vous approach were managed as successfully and without an increase in complication rates compared with patients treated secondarily at a CSC (91.7% successful interventions in Rendez-Vous vs. 87.3% in control group,
p
= 0.57). The time from diagnosis of LVO to groin puncture was reduced by mean 74.3 min with the Rendez-Vous concept (
p
< 0.01). Regarding the clinical outcome, a functionally independent status was achieved in 45.5% in the Rendez-Vous group and in 22.6% in the control group (
p
= 0.029).
Conclusion
Thanks to interdisciplinary teamwork between cardiology and interventional neuroradiology in local PSCs, times to successful reperfusion can be reduced. This has a potentially positive impact on the clinical outcome of stroke patients.
Graphical Abstract</description><identifier>ISSN: 0174-1551</identifier><identifier>EISSN: 1432-086X</identifier><identifier>DOI: 10.1007/s00270-023-03610-y</identifier><identifier>PMID: 37989788</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Brain Ischemia - etiology ; Cardiology ; Cardiovascular system ; Clinical outcomes ; Endovascular Procedures - adverse effects ; Humans ; Imaging ; Interdisciplinary aspects ; Medicine ; Medicine & Public Health ; Neuroimaging ; Nuclear Medicine ; Onsite ; Patients ; Radiology ; Reperfusion ; Retrospective Studies ; Rural areas ; Short Communication ; Stroke ; Stroke - diagnostic imaging ; Stroke - surgery ; Stroke/Neurointerventions ; Thrombectomy ; Treatment Outcome ; Ultrasound</subject><ispartof>Cardiovascular and interventional radiology, 2024-01, Vol.47 (1), p.109-114</ispartof><rights>The Author(s) 2023</rights><rights>2023. The Author(s).</rights><rights>The Author(s) 2023. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c475t-ec67ee46b0835c5082924e7f2807a8b37d848278e91282299a46c74fcb346d433</citedby><cites>FETCH-LOGICAL-c475t-ec67ee46b0835c5082924e7f2807a8b37d848278e91282299a46c74fcb346d433</cites><orcidid>0000-0003-4885-7671</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00270-023-03610-y$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00270-023-03610-y$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>230,314,776,780,881,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37989788$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Krug, Nadja</creatorcontrib><creatorcontrib>Braun, Holger</creatorcontrib><creatorcontrib>Knez, Andreas</creatorcontrib><creatorcontrib>Auerbach, Holger</creatorcontrib><creatorcontrib>Bodenberger, Stephen</creatorcontrib><creatorcontrib>Eglseder, Bettina</creatorcontrib><creatorcontrib>Kirschke, Jan</creatorcontrib><creatorcontrib>Boeckh-Behrens, Tobias</creatorcontrib><creatorcontrib>Wunderlich, Silke</creatorcontrib><creatorcontrib>Henninger, Julia</creatorcontrib><creatorcontrib>Boy, Sandra</creatorcontrib><creatorcontrib>Renz, Martin</creatorcontrib><creatorcontrib>Sepp, Dominik</creatorcontrib><creatorcontrib>Zimmer, Claus</creatorcontrib><creatorcontrib>Maegerlein, Christian</creatorcontrib><title>Interdisciplinary Rendez-Vous Approach in Endovascular Stroke Treatment: A New Concept to Accelerate Mechanical Thrombectomy in Primary Stroke Centers</title><title>Cardiovascular and interventional radiology</title><addtitle>Cardiovasc Intervent Radiol</addtitle><addtitle>Cardiovasc Intervent Radiol</addtitle><description>Purpose
Prompt endovascular treatment of patients with stroke due to intracranial Large Vessel Occlusion (LVO) is a major challenge in rural areas because neurointerventionalists are usually not available. As a result, treatment is delayed, and clinical outcomes are worse compared with patients primarily treated in comprehensive stroke centers (CSC). To address this problem, we present a concept in which interdisciplinary, on-site endovascular treatment is performed in a Primary Stroke Center (PSC) by a team of interventional neuroradiologists and cardiologists: the Rendez-Vous approach.
Methods
Thirty-five patients with LVO who underwent interdisciplinary thrombectomy on-site at the PSC as part of the Rendez-Vous concept were compared with 72 patients who were transferred from a PSCs to the CSC for thrombectomy when diagnosed with LVO in terms of temporal sequences and clinical outcomes.
Results
Patients treated on-site at the PSC as part of the Rendez-Vous approach were managed as successfully and without an increase in complication rates compared with patients treated secondarily at a CSC (91.7% successful interventions in Rendez-Vous vs. 87.3% in control group,
p
= 0.57). The time from diagnosis of LVO to groin puncture was reduced by mean 74.3 min with the Rendez-Vous concept (
p
< 0.01). Regarding the clinical outcome, a functionally independent status was achieved in 45.5% in the Rendez-Vous group and in 22.6% in the control group (
p
= 0.029).
Conclusion
Thanks to interdisciplinary teamwork between cardiology and interventional neuroradiology in local PSCs, times to successful reperfusion can be reduced. This has a potentially positive impact on the clinical outcome of stroke patients.
Graphical Abstract</description><subject>Brain Ischemia - etiology</subject><subject>Cardiology</subject><subject>Cardiovascular system</subject><subject>Clinical outcomes</subject><subject>Endovascular Procedures - adverse effects</subject><subject>Humans</subject><subject>Imaging</subject><subject>Interdisciplinary aspects</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Neuroimaging</subject><subject>Nuclear Medicine</subject><subject>Onsite</subject><subject>Patients</subject><subject>Radiology</subject><subject>Reperfusion</subject><subject>Retrospective Studies</subject><subject>Rural areas</subject><subject>Short Communication</subject><subject>Stroke</subject><subject>Stroke - diagnostic imaging</subject><subject>Stroke - surgery</subject><subject>Stroke/Neurointerventions</subject><subject>Thrombectomy</subject><subject>Treatment Outcome</subject><subject>Ultrasound</subject><issn>0174-1551</issn><issn>1432-086X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp9kU1v1DAQhiMEokvhD3BAlrhwCfgrsc0FrValVCofggVxsxxntpuS2MF2Wi0_hN-Llyzl48BpDvPO887MWxQPCX5KMBbPIsZU4BJTVmJWE1zubhULwhktsaw_3y4WmAhekqoiR8W9GC8xJpWk1d3iiAkllZByUXw_cwlC20XbjX3nTNih9-Ba-FZ-8lNEy3EM3tgt6hw6ca2_MtFOvQnoQwr-C6B1AJMGcOk5WqI3cI1W3lkYE0oeLa2FHoJJgF6D3RrXWdOj9Tb4oQGb_LDbU9-Fbti7HoAr2O8T7xd3NqaP8OBQj4uPL0_Wq1fl-dvTs9XyvLRcVKkEWwsAXjdYsspWWFJFOYgNlVgY2TDRSi6pkKAIlZQqZXhtBd_YhvG65YwdFy9m7jg1A7Q2uwfT63FeSnvT6b87rtvqC3-lCRa1UpxnwpMDIfivE8Skh_xM6HvjIH9QU6loXUnBqix9_I_00k_B5fs0VRmIGeEqq-isssHHGGBzsw3Bep-7nnPXOXf9M3e9y0OP_rzjZuRX0FnAZkHMLXcB4bf3f7A_ABshu6M</recordid><startdate>20240101</startdate><enddate>20240101</enddate><creator>Krug, Nadja</creator><creator>Braun, Holger</creator><creator>Knez, Andreas</creator><creator>Auerbach, Holger</creator><creator>Bodenberger, Stephen</creator><creator>Eglseder, Bettina</creator><creator>Kirschke, Jan</creator><creator>Boeckh-Behrens, Tobias</creator><creator>Wunderlich, Silke</creator><creator>Henninger, Julia</creator><creator>Boy, Sandra</creator><creator>Renz, Martin</creator><creator>Sepp, Dominik</creator><creator>Zimmer, Claus</creator><creator>Maegerlein, Christian</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>C6C</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7TO</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0003-4885-7671</orcidid></search><sort><creationdate>20240101</creationdate><title>Interdisciplinary Rendez-Vous Approach in Endovascular Stroke Treatment: A New Concept to Accelerate Mechanical Thrombectomy in Primary Stroke Centers</title><author>Krug, Nadja ; Braun, Holger ; Knez, Andreas ; Auerbach, Holger ; Bodenberger, Stephen ; Eglseder, Bettina ; Kirschke, Jan ; Boeckh-Behrens, Tobias ; Wunderlich, Silke ; Henninger, Julia ; Boy, Sandra ; Renz, Martin ; Sepp, Dominik ; Zimmer, Claus ; Maegerlein, Christian</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c475t-ec67ee46b0835c5082924e7f2807a8b37d848278e91282299a46c74fcb346d433</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Brain Ischemia - etiology</topic><topic>Cardiology</topic><topic>Cardiovascular system</topic><topic>Clinical outcomes</topic><topic>Endovascular Procedures - adverse effects</topic><topic>Humans</topic><topic>Imaging</topic><topic>Interdisciplinary aspects</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Neuroimaging</topic><topic>Nuclear Medicine</topic><topic>Onsite</topic><topic>Patients</topic><topic>Radiology</topic><topic>Reperfusion</topic><topic>Retrospective Studies</topic><topic>Rural areas</topic><topic>Short Communication</topic><topic>Stroke</topic><topic>Stroke - diagnostic imaging</topic><topic>Stroke - surgery</topic><topic>Stroke/Neurointerventions</topic><topic>Thrombectomy</topic><topic>Treatment Outcome</topic><topic>Ultrasound</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Krug, Nadja</creatorcontrib><creatorcontrib>Braun, Holger</creatorcontrib><creatorcontrib>Knez, Andreas</creatorcontrib><creatorcontrib>Auerbach, Holger</creatorcontrib><creatorcontrib>Bodenberger, Stephen</creatorcontrib><creatorcontrib>Eglseder, Bettina</creatorcontrib><creatorcontrib>Kirschke, Jan</creatorcontrib><creatorcontrib>Boeckh-Behrens, Tobias</creatorcontrib><creatorcontrib>Wunderlich, Silke</creatorcontrib><creatorcontrib>Henninger, Julia</creatorcontrib><creatorcontrib>Boy, Sandra</creatorcontrib><creatorcontrib>Renz, Martin</creatorcontrib><creatorcontrib>Sepp, Dominik</creatorcontrib><creatorcontrib>Zimmer, Claus</creatorcontrib><creatorcontrib>Maegerlein, Christian</creatorcontrib><collection>Springer Nature OA Free Journals</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Oncogenes and Growth Factors Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Cardiovascular and interventional radiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Krug, Nadja</au><au>Braun, Holger</au><au>Knez, Andreas</au><au>Auerbach, Holger</au><au>Bodenberger, Stephen</au><au>Eglseder, Bettina</au><au>Kirschke, Jan</au><au>Boeckh-Behrens, Tobias</au><au>Wunderlich, Silke</au><au>Henninger, Julia</au><au>Boy, Sandra</au><au>Renz, Martin</au><au>Sepp, Dominik</au><au>Zimmer, Claus</au><au>Maegerlein, Christian</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Interdisciplinary Rendez-Vous Approach in Endovascular Stroke Treatment: A New Concept to Accelerate Mechanical Thrombectomy in Primary Stroke Centers</atitle><jtitle>Cardiovascular and interventional radiology</jtitle><stitle>Cardiovasc Intervent Radiol</stitle><addtitle>Cardiovasc Intervent Radiol</addtitle><date>2024-01-01</date><risdate>2024</risdate><volume>47</volume><issue>1</issue><spage>109</spage><epage>114</epage><pages>109-114</pages><issn>0174-1551</issn><eissn>1432-086X</eissn><abstract>Purpose
Prompt endovascular treatment of patients with stroke due to intracranial Large Vessel Occlusion (LVO) is a major challenge in rural areas because neurointerventionalists are usually not available. As a result, treatment is delayed, and clinical outcomes are worse compared with patients primarily treated in comprehensive stroke centers (CSC). To address this problem, we present a concept in which interdisciplinary, on-site endovascular treatment is performed in a Primary Stroke Center (PSC) by a team of interventional neuroradiologists and cardiologists: the Rendez-Vous approach.
Methods
Thirty-five patients with LVO who underwent interdisciplinary thrombectomy on-site at the PSC as part of the Rendez-Vous concept were compared with 72 patients who were transferred from a PSCs to the CSC for thrombectomy when diagnosed with LVO in terms of temporal sequences and clinical outcomes.
Results
Patients treated on-site at the PSC as part of the Rendez-Vous approach were managed as successfully and without an increase in complication rates compared with patients treated secondarily at a CSC (91.7% successful interventions in Rendez-Vous vs. 87.3% in control group,
p
= 0.57). The time from diagnosis of LVO to groin puncture was reduced by mean 74.3 min with the Rendez-Vous concept (
p
< 0.01). Regarding the clinical outcome, a functionally independent status was achieved in 45.5% in the Rendez-Vous group and in 22.6% in the control group (
p
= 0.029).
Conclusion
Thanks to interdisciplinary teamwork between cardiology and interventional neuroradiology in local PSCs, times to successful reperfusion can be reduced. This has a potentially positive impact on the clinical outcome of stroke patients.
Graphical Abstract</abstract><cop>New York</cop><pub>Springer US</pub><pmid>37989788</pmid><doi>10.1007/s00270-023-03610-y</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0003-4885-7671</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0174-1551 |
| ispartof | Cardiovascular and interventional radiology, 2024-01, Vol.47 (1), p.109-114 |
| issn | 0174-1551 1432-086X |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_10769944 |
| source | MEDLINE; SpringerLink Journals - AutoHoldings |
| subjects | Brain Ischemia - etiology Cardiology Cardiovascular system Clinical outcomes Endovascular Procedures - adverse effects Humans Imaging Interdisciplinary aspects Medicine Medicine & Public Health Neuroimaging Nuclear Medicine Onsite Patients Radiology Reperfusion Retrospective Studies Rural areas Short Communication Stroke Stroke - diagnostic imaging Stroke - surgery Stroke/Neurointerventions Thrombectomy Treatment Outcome Ultrasound |
| title | Interdisciplinary Rendez-Vous Approach in Endovascular Stroke Treatment: A New Concept to Accelerate Mechanical Thrombectomy in Primary Stroke Centers |
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