• J Stroke Cerebrovasc Dis · Nov 2009

    Editorial Practice Guideline

    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 G McDougall, Gary M Nesbit, Peter A Rasmussen, Thomas A Tomsick, Lawrence R Wechsler, John R Wilson, Osama O Zaidat, and Wrting Group for American Academy of Neurology, American Association of Neurological Surgeons Cerebrovascular Section, Society of Neurointerventional Surgery and Society of Vascular and Interventional Neurology.
    • J Stroke Cerebrovasc Dis. 2009 Nov 1;18(6):411-5.

    AbstractStroke 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.

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