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BioMed Research International
Volume 2018, Article ID 9548743, 8 pages
https://doi.org/10.1155/2018/9548743
Research Article

Improvement of Endovascular Stroke Treatment: A 24-Hour Neuroradiological On-Site Service Is Not Enough

1Department of Diagnostic and Interventional Neuroradiology, University Hospital, RWTH Aachen University, Pauwelsstr. 30, 52074 Aachen, Germany
2Department of Neurology, University Hospital, RWTH Aachen University, Pauwelsstr. 30, 52074 Aachen, Germany
3Department of Radiology, University Hospital Tübingen, Hoppe-Seyler-Straße 3, 72076 Tübingen, Germany

Correspondence should be addressed to Omid Nikoubashman; ed.nehcaaku@namhsabuokino

Received 31 July 2017; Revised 25 November 2017; Accepted 30 November 2017; Published 4 January 2018

Academic Editor: Marcel Arnold

Copyright © 2018 Omid Nikoubashman et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background and Purpose. With the advent of endovascular stroke treatment (EST) with mechanical thrombectomy, stroke treatment has also become more challenging. Purpose of this study was to investigate whether a fulltime neuroradiological on-site service and workflow optimization with a structured documentation of the interdisciplinary stroke workflow resulted in improved procedural times. Material and Methods. Procedural times of 322 consecutive patients, who received EST (1) before () and (2) after () establishing a 24-hour neuroradiological on-site service as well as (3) after implementation of a structured interdisciplinary workflow documentation (“Stroke Check”) (), were analysed. Results. A fulltime neuroradiological on-site service resulted in a nonsignificant improvement of procedural times during out-of-hours admissions (). Working hours and out-of-hours procedural times improved significantly, if additional workflow optimization was realized (). Conclusions. A 24-hour interventional on-site service is a major prerequisite to adequately provide modern reperfusion therapies in patients with acute ischemic stroke. However, simple measures like standardized and focused documentation that affect the entire interdisciplinary pre- and intrahospital stroke rescue chain seem to be important.