Performance and training standards for endovascular ischemic stroke treatment

Autor: P M, Meyers, H C, Schumacher, M J, Alexander, C P, Derdeyn, A J, Furlan, R T, Higashida, C J, Moran, R W, Tarr, D V, Heck, J A, Hirsch, M E, Jensen, I, Linfante, C G, McDougall, G M, Nesbit, P A, Rasmussen, T A, Tomsick, L R, Wechsler, J A, Wilson, J R, Wilson, O O, Zaidat
Rok vydání: 2009
Předmět:
Neurology
Quality Assurance
Health Care
medicine.medical_treatment
Neurosurgical Procedures
law.invention
Accreditation
Brain Ischemia
Randomized controlled trial
law
Specialty Boards
Task Performance and Analysis
Medicine
Thrombolytic Therapy
Stroke
Societies
Medical
Cause of death
Thrombectomy
Cerebral Revascularization
Rehabilitation
General Medicine
Cerebral Infarction
Thrombolysis
Neuroradiography
Acute Disease
Education
Medical
Continuing
Clinical Competence
Curriculum
Credentialing
Cardiology and Cardiovascular Medicine
medicine.medical_specialty
Certification
Neurosurgery
Endovascular therapy
Humans
In patient
cardiovascular diseases
Quality of Health Care
business.industry
Angioplasty
Internship and Residency
Neurovascular bundle
medicine.disease
United States
Education
Medical
Graduate
Emergency medicine
Ischemic stroke
Physical therapy
Surgery
Neurology (clinical)
business
Zdroj: Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association. 18(6)
ISSN: 1532-8511
Popis: Stroke is the third leading cause of death in the USA, Canada, Europe, and Japan. According to the American Heart Association and the American Stroke Association, there are now 750 000 new strokes that occur each year, resulting in 200 000 deaths, or 1 of every 16 deaths, per year in the USA alone. Endovascular therapy for patients with acute ischemic stroke is an area of intense investigation. The American Stroke Association has given a qualified endorsement of intra-arterial thrombolysis in selected patients. Intra-arterial thrombolysis has been studied in two randomized trials and numerous case series. Although two devices have been granted FDA approval with an indication for mechanical stroke thrombectomy, none of these thrombectomy devices has demonstrated efficacy for the improvement of patient outcomes. The purpose of the present document is to define what constitutes adequate training to perform neuroendovascular procedures in patients with acute ischemic stroke and what performance standards should be adopted to assess outcomes. These guidelines have been written and approved by multiple neuroscience societies which historically have been directly involved in the medical, surgical and endovascular care of patients with acute stroke. The participating member organizations of the Neurovascular Coalition involved in the writing and endorsement of this document are the Society of NeuroInterventional Surgery, the American Academy of Neurology, the American Association of Neurological Surgeons/Congress of Neurological Surgeons Cerebrovascular Section, and the Society of Vascular & Interventional Neurology.
Databáze: OpenAIRE
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