Transferring Suspected Large Vessel Occlusion Stroke Patients Directly to Angiography Suite

Direct transfer to the angiography suite without stopping for computed tomography improved functional outcomes in a single-center randomized trial, although many patients already had conventional CT done at a primary stroke center before transfer.

The benefits of endovascular stroke treatment for large vessel occlusion (LVO) stroke are time sensitive, so clinicians have sought to further refine in-hospital workflows to improve patient outcomes. The model of direct transfer to the angiography suite (DTAS) without stopping in the emergency department is already well established for ST-elevation myocardial infarction, but this approach has been less well studied for LVO stroke, which typically requires CT imaging.

Researchers now report the results of a single-center randomized trial comparing DTAS to a conventional workflow in patients with suspected LVO stroke (based on a prehospital Rapid Arterial Occlusion Evaluation score >4) who presented within 6 hours of symptom onset and had mod…

Reviewing Author

Anthony S. Kim, MD

Disclosures

Grant/Research SupportNIH/National Institute of Neurological Disorders and Stroke; NIH/National Center for Advancing Translational Sciences

Anthony S. Kim, MD

Disclosures

Grant/Research SupportNIH/National Institute of Neurological Disorders and Stroke; NIH/National Center for Advancing Translational Sciences

Transferring Suspected Large Vessel Occlusion Stroke Patients Directly to Angiography Suite

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Reviewing Author