Kettner, Alexander and Schlachetzki, Felix and Boeckh-Behrens, Tobias and Zimmer, Claus and Wunderlich, Silke and Kraus, Frank and Haberl, Roman Ludwig and Hubert, Gordian Jan and Boy, Sandra and Henninger, Julia and Friedrich, Benjamin and Maegerlein, Christian (2023) Feasibility, Safety, and Technical Success of the Flying Intervention Team in Acute Ischemic Stroke Comparison of Interventions in Different Primary Stroke Centers with those in a Comprehensive Stroke Center. CLINICAL NEURORADIOLOGY, 33 (2). pp. 393-404. ISSN 1869-1439, 1869-1447
Full text not available from this repository. (Request a copy)Abstract
Background Prompt endovascular care of patients with ischemic stroke due to large vessel occlusion (LVO) remains a major challenge in rural regions as primary stroke centers (PSC) usually cannot provide neuro-interventional services. Objective The core content of the Flying Intervention Team (FIT) project is to perform thrombectomy on-site at a local PSC after the neuro-interventionalist has been transported via helicopter to the target hospital. An important and so far unanswered question is whether mechanical thrombectomy can be performed as safely and successfully on-site as in a specialized comprehensive stroke center (CSC). Methods Comparison of 100 FIT thrombectomies on site in 14 different PSCs with 128 control thrombectomies at 1 CSC (79 drip-and-ship, 49 mothership) performed by a single interventionalist with respect to technical-procedural success parameters, procedural times, and complications. Results There were no significant differences between the two groups in terms of technical success (95.0% successful interventions in FIT group vs. 94.5% in control group, p = 0.60) and complications (3% major complications in FIT vs. 1.6% in control group, p = 0.47). Regarding time from onset to groin puncture, there was no difference between FIT and the entire control group (182 vs. 183 min, p = 0.28), but a trend in favor of FIT compared with the drip-and-ship control subgroup (182 vs. 210 min, p = 0.096). Conclusions Airborne neuro-interventional thrombectomy service is a feasible approach for rural regions. If performed by experienced neuro-interventionalists, technical success and complication rates are comparable to treatment in a specialized neuro-interventional department.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | STENT-RETRIEVER THROMBECTOMY; INTRAVENOUS THROMBOLYSIS; ENDOVASCULAR TREATMENT; RANDOMIZED-TRIAL; OCCLUSION; CARE; RECANALIZATION; IMPLEMENTATION; ALTEPLASE; TIME; Mechanical thrombectomy; Flying interventionalist; Helicopter; Helistroke; FIT |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Neurologie |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 07 Mar 2024 10:46 |
| Last Modified: | 07 Mar 2024 10:46 |
| URI: | https://pred.uni-regensburg.de/id/eprint/58273 |
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