Work

A quality improvement project on reimaging for provision of extended window mechanical thrombectomy when 24/7 service is not available

Year: 2025

Type: article

Abstract: BACKGROUND: Mechanical thrombectomy (MT) has revolutionised the treatment of ischaemic stroke, leading to decreased rates of disability and mortality. However, many centres are unable to deliver a 24/7 service. Consequently, many patients who present in the non-operating hours are not considered for this treatment. METHODS: We conducted a quality improvement project (QIP) to provide patients presenting out of hours with access to MT. To achieve this, we designed a protocol to rescan those patients just before opening of the service to select the candidates based on the favourable perfusion criteria. RESULTS: Twenty-two out of the 39 patients included in the QIP had MT, which was not accessible before initiation of our protocol. CONCLUSION: In stroke centres where 24/7 MT service is not available, patients with large vessel occlusion (LVO) stroke, who present in the non-operating hours, can get access to this treatment by consideration of early morning rescanning just before opening of the service.

Source: Clinical Medicine

DOI: 10.1016/j.clinme.2025.100521

Authors: Shadi M Ramadan, Bernard Esisi

Institutions: University of Hull, Hull University Teaching Hospitals NHS Trust

Language: English

Topic: Acute Ischemic Stroke Management

Subfield: Epidemiology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $2,500