Performance and Training Standards for Endovascular Ischemic Stroke Treatment

Philip M. Meyers, H. Christian Schumacher, Michael J. Alexander, Colin P. Derdeyn, Anthony J. Furlan, Randall T. Higashida, Christopher J. Moran, Robert W. Tarr, Donald V. Heck, Joshua A. Hirsch, Mary E. Jensen, Italo Linfante, Cameron McDougall, Gary M. Nesbit, Peter A. Rasmussen, Thomas A. Tomsick, Lawrence R. Wechsler, John R. Wilson, Osama O. Zaidat

Research output: Contribution to journalArticle

Abstract

Stroke is the third-leading cause of death in the United States, Canada, Europe, and Japan. According to the American Heart Association and the American Stroke Association, 750,000 new strokes occur each year, resulting in 200,000 deaths (or 1 of every 16 deaths) per year in the United States 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 (IA) thrombolysis in selected patients. IA thrombolysis has been studied in 2 randomized trials and numerous case series. Although 2 devices have been granted FDA 3 approval with an indication for mechanical stroke thrombectomy, none of these devices has demonstrated efficacy in improving patient outcomes. This report defines what constitutes adequate training to perform neuroendovascular procedures in patients with acute ischemic stroke and identifies the performance standards that should be adopted to assess outcomes. These guidelines have been written and approved by multiple neuroscience societies that historically have been directly involved in the medical, surgical, and endovascular care of patients with acute stroke, including the Neurovascular Coalition and its participating societies: the Society of NeuroInterventional Surgery; American Academy of Neurology; American Association of Neurological Surgeons, Cerebrovascular Section; and Society of Vascular & Interventional Neurology.

Original languageEnglish (US)
Pages (from-to)411-415
Number of pages5
JournalJournal of Stroke and Cerebrovascular Diseases
Volume18
Issue number6
DOIs
StatePublished - Nov 1 2009
Externally publishedYes

Fingerprint

Stroke
Therapeutics
Equipment and Supplies
Thrombectomy
Neurology
Neurosciences
Canada
Blood Vessels
Cause of Death
Patient Care
Japan
Guidelines

Keywords

  • endovascular
  • endovascular therapy
  • fellowship
  • intra-arterial
  • performance
  • Stroke
  • training standards

ASJC Scopus subject areas

  • Surgery
  • Rehabilitation
  • Clinical Neurology
  • Cardiology and Cardiovascular Medicine

Cite this

Meyers, P. M., Schumacher, H. C., Alexander, M. J., Derdeyn, C. P., Furlan, A. J., Higashida, R. T., ... Zaidat, O. O. (2009). Performance and Training Standards for Endovascular Ischemic Stroke Treatment. Journal of Stroke and Cerebrovascular Diseases, 18(6), 411-415. https://doi.org/10.1016/j.jstrokecerebrovasdis.2009.08.001

Performance and Training Standards for Endovascular Ischemic Stroke Treatment. / Meyers, Philip M.; Schumacher, H. Christian; Alexander, Michael J.; Derdeyn, Colin P.; Furlan, Anthony J.; Higashida, Randall T.; Moran, Christopher J.; Tarr, Robert W.; Heck, Donald V.; Hirsch, Joshua A.; Jensen, Mary E.; Linfante, Italo; McDougall, Cameron; Nesbit, Gary M.; Rasmussen, Peter A.; Tomsick, Thomas A.; Wechsler, Lawrence R.; Wilson, John R.; Zaidat, Osama O.

In: Journal of Stroke and Cerebrovascular Diseases, Vol. 18, No. 6, 01.11.2009, p. 411-415.

Research output: Contribution to journalArticle

Meyers, PM, Schumacher, HC, Alexander, MJ, Derdeyn, CP, Furlan, AJ, Higashida, RT, Moran, CJ, Tarr, RW, Heck, DV, Hirsch, JA, Jensen, ME, Linfante, I, McDougall, C, Nesbit, GM, Rasmussen, PA, Tomsick, TA, Wechsler, LR, Wilson, JR & Zaidat, OO 2009, 'Performance and Training Standards for Endovascular Ischemic Stroke Treatment', Journal of Stroke and Cerebrovascular Diseases, vol. 18, no. 6, pp. 411-415. https://doi.org/10.1016/j.jstrokecerebrovasdis.2009.08.001
Meyers, Philip M. ; Schumacher, H. Christian ; Alexander, Michael J. ; Derdeyn, Colin P. ; Furlan, Anthony J. ; Higashida, Randall T. ; Moran, Christopher J. ; Tarr, Robert W. ; Heck, Donald V. ; Hirsch, Joshua A. ; Jensen, Mary E. ; Linfante, Italo ; McDougall, Cameron ; Nesbit, Gary M. ; Rasmussen, Peter A. ; Tomsick, Thomas A. ; Wechsler, Lawrence R. ; Wilson, John R. ; Zaidat, Osama O. / Performance and Training Standards for Endovascular Ischemic Stroke Treatment. In: Journal of Stroke and Cerebrovascular Diseases. 2009 ; Vol. 18, No. 6. pp. 411-415.
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