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Can Interventional Cardiologists Help Deliver the UK Mechanical Thrombectomy Interventional Programme for Patients with Acute Ischaemic Stroke? A Discussion Paper from the British Cardiovascular Interventional Society Stroke Thrombectomy Focus Group



Review


doi: 10.15420/icr.2021.35.


eCollection 2022 Jan.

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Review

Helen Routledge et al.


Interv Cardiol.


.

Abstract

There is a willingness among UK interventional cardiologists to contribute to provision of a 24/7 mechanical thrombectomy (MT) service for all suitable stroke patients if given the appropriate training. This highly effective intervention remains unavailable to the majority of patients who might benefit, partly because there is a limited number of trained specialists. As demonstrated in other countries, interdisciplinary working can be the solution and an opportunity to achieve this is outlined in this article.


Keywords:

Ischaemic stroke; interventional cardiology; mechanical thrombectomy.

Conflict of interest statement

Disclosure: ASPS and NC are on the Interventional Cardiology editorial board; this did not influence peer review. All other authors have no conflicts of interest to declare.

Figures



Figure 1:. Current Access to Existing Neuroscience Centres


Figure 2:


Figure 2:. Schematic for Training Interventional Cardiologists in Stroke Thrombectomy Procedures

References

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    1. Goyal M, Menon BK, van Zwam WH et al. Endovascular thrombectomy after large-vessel ischaemic stroke: a meta-analysis of individual patient data from five randomised trials. Lancet. 2016;387:1723–31. doi: 10.1016/S0140-6736(16)00163-X.



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    1. National Institute of Health and Care Excellence. Stroke and transient ischaemic attack in over 16s: diagnosis and initial management (NG128). London: NICE, 2019. https://www.nice.org.uk/guidance/ng128 (accessed 19 April 2022)



      PubMed

    1. Albers GW, Marks MP, Kemp S et al. Thrombectomy for stroke at 6 to 16 hours with selection by perfusion imaging. N Engl J Med. 2018;378:708–18. doi: 10.1056/NEJMoa1713973.



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