OtherReview articles
Open Access
Intra-Arterial Stroke Therapy: An Assessment of Demand and Available Work Force
H.J. Cloft, A. Rabinstein, G. Lanzino and D.F. Kallmes
American Journal of Neuroradiology March 2009, 30 (3) 453-458; DOI: https://doi.org/10.3174/ajnr.A1462
H.J. Cloft
A. Rabinstein
G. Lanzino

References
- ↵Adams HP Jr, del Zoppo G, Alberts MJ, et al. Guidelines for the early management of adults with ischemic stroke: a guideline from the American Heart Association/American Stroke Association Stroke Council, Clinical Cardiology Council, Cardiovascular Radiology and Intervention Council, and the Atherosclerotic Peripheral Vascular Disease and Quality of Care Outcomes in Research Interdisciplinary Working Groups: The American Academy of Neurology affirms the value of this guideline as an educational tool for neurologists [published erratum appears in Circulation 2007;116:e515]. Circulation 2007;115:e478–534
- ↵White CJ, Cates CU, Cowley MJ, et al. Interventional stroke therapy: current state of the art and needs assessment. Catheter Cardiovasc Interv 2007;70:471–76
- ↵Smith WS. Safety of mechanical thrombectomy and intravenous tissue plasminogen activator in acute ischemic stroke. Results of the multi Mechanical Embolus Removal in Cerebral Ischemia (MERCI) trial, part I. AJNR Am J Neuroradiol 2006;27:1177–82
- ↵Smith WS, Sung G, Saver J, et al. Mechanical thrombectomy for acute ischemic stroke: final results of the Multi MERCI trial. Stroke 2008;39:1205–12
- ↵The Interventional Management of Stroke (IMS) II Study. Stroke 2007;38:2127–35
- ↵Furlan A, Higashida R, Wechsler L, et al. Intra-arterial prourokinase for acute ischemic stroke. The PROACT II study: a randomized controlled trial. Prolyse in Acute Cerebral Thromboembolism. JAMA 1999;282:2003–11
- ↵Smith WS, Sung G, Starkman S, et al. Safety and efficacy of mechanical embolectomy in acute ischemic stroke: results of the MERCI trial. Stroke 2005;36:1432–38
- ↵The IMS Investigators. Combined intravenous and intra-arterial recanalization for acute ischemic stroke: the Interventional Management of Stroke Study. Stroke 2004;35:904–11
- ↵del Zoppo GJ, Higashida RT, Furlan AJ, et al. PROACT: a phase II randomized trial of recombinant pro-urokinase by direct arterial delivery in acute middle cerebral artery stroke. PROACT Investigators. Prolyse in Acute Cerebral Thromboembolism. Stroke 1998;29:4–11
- ↵The NINDS Stroke Study Investigators. Recombinant tissue plasminogen activator for minor strokes: the National Institute of Neurological Disorders and Stroke rt-PA Stroke Study experience. Ann Emerg Med 2005;46:243–52
- ↵Tomsick T, Brott T, Barsan W, et al. Prognostic value of the hyperdense middle cerebral artery sign and stroke scale score before ultraearly thrombolytic therapy. AJNR Am J Neuroradiol 1996;17:79–85
- Nakajima M, Kimura K, Ogata T, et al. Relationships between angiographic findings and National Institutes of Health stroke scale score in cases of hyperacute carotid ischemic stroke. AJNR Am J Neuroradiol 2004;25:238–41
- ↵Fischer U, Arnold M, Nedeltchev K, et al. NIHSS score and arteriographic findings in acute ischemic stroke. Stroke 2005;36:2121–25
- ↵Flint AC, Duckwiler GR, Budzik RF, et al. Mechanical thrombectomy of intracranial internal carotid occlusion: pooled results of the MERCI and Multi MERCI Part I trials. Stroke 2007;38:1274–80
- ↵Gobin YP, Starkman S, Duckwiler GR, et al. MERCI 1: a phase 1 study of Mechanical Embolus Removal in Cerebral Ischemia. Stroke 2004;35:2848–54
- ↵
- Kim D, Ford GA, Kidwell CS, et al. Intra-arterial thrombolysis for acute stroke in patients 80 and older: a comparison of results in patients younger than 80 years. AJNR Am J Neuroradiol 2007;28:159–63
- Suarez JI, Sunshine JL, Tarr R, et al. Predictors of clinical improvement, angiographic recanalization, and intracranial hemorrhage after intra-arterial thrombolysis for acute ischemic stroke. Stroke 1999;30:2094–100
- Barnwell SL, Clark WM, Nguyen TT, et al. Safety and efficacy of delayed intraarterial urokinase therapy with mechanical clot disruption for thromboembolic stroke. AJNR Am J Neuroradiol 1994;15:1817–22
- Ernst R, Pancioli A, Tomsick T, et al. Combined intravenous and intra-arterial recombinant tissue plasminogen activator in acute ischemic stroke. Stroke 2000;31:2552–57
- Hill MD, Barber PA, Demchuk AM, et al. Acute intravenous–intra-arterial revascularization therapy for severe ischemic stroke. Stroke 2002;33:279–82
- ↵Choi JH, Bateman BT, Mangla S, et al. Endovascular recanalization therapy in acute ischemic stroke. Stroke 2006;37:419–24
- ↵Devlin TG, Baxter BW, Feintuch TA, et al. The Merci Retrieval System for acute stroke: the Southeast Regional Stroke Center experience. Neurocrit Care 2007;6:11–21
- ↵Tomsick TA. 2006: a stroke odyssey. AJNR Am J Neuroradiol 2006;27:2019–21
- ↵Christoforidis GA, Mohammad Y, Kehagias D, et al. Angiographic assessment of pial collaterals as a prognostic indicator following intra-arterial thrombolysis for acute ischemic stroke. AJNR Am J Neuroradiol 2005;26:1789–97
- ↵Schellinger PD, Fiebach JB, Jansen O, et al. Stroke magnetic resonance imaging within 6 hours after onset of hyperacute cerebral ischemia. Ann Neurol 2001;49:460–69
- Han MK, Kim SH, Ko SB, et al. Combined intravenous and intraarterial revascularization therapy using MRI perfusion/diffusion mismatch selection for acute ischemic stroke at 3–6 h after symptom onset. Neurocrit Care 2008;8:353–59
- Schellinger PD, Thomalla G, Fiehler J, et al. MRI-based and CT-based thrombolytic therapy in acute stroke within and beyond established time windows: an analysis of 1210 patients. Stroke 2007;38:2640–45
- Thomalla G, Schwark C, Sobesky J, et al. Outcome and symptomatic bleeding complications of intravenous thrombolysis within 6 hours in MRI-selected stroke patients: comparison of a German multicenter study with the pooled data of ATLANTIS, ECASS, and NINDS tPA trials. Stroke 2006;37:852–58
- Hacke W, Albers G, Al-Rawi Y, et al. The Desmoteplase in Acute Ischemic Stroke Trial (DIAS): a phase II MRI-based 9-hour window acute stroke thrombolysis trial with intravenous desmoteplase. Stroke 2005;36:66–73
- Derex L, Nighoghossian N, Hermier M, et al. Influence of pretreatment MRI parameters on clinical outcome, recanalization and infarct size in 49 stroke patients treated by intravenous tissue plasminogen activator. J Neurol Sci 2004;225:3–9
- Butcher KS, Parsons M, MacGregor L, et al. Refining the perfusion-diffusion mismatch hypothesis. Stroke 2005;36:1153–59
- ↵Butcher K, Parsons M, Allport L, et al. Rapid assessment of perfusion-diffusion mismatch. Stroke 2008;39:75–81
- ↵
- ↵
- ↵MR and Recanalization of Stroke Clots Using Embolectomy (MR RESCUE). Available at: http://clinicaltrials.gov/ct2/show/NCT00389467. Accessed June 9, 2008
- ↵Qureshi AI, Suri MF, Nasar A, et al. Thrombolysis for ischemic stroke in the United States: data from National Hospital Discharge Survey 1999–2001. Neurosurgery 2005;57:647–54
- ↵Bose A, Henkes H, Alfke K, et al. The Penumbra System: a mechanical device for the treatment of acute stroke due to thromboembolism. AJNR Am J Neuroradiol 2008;29:1409–13
- ↵Rosamond W, Flegal K, Furie K, et al. Heart disease and stroke statistics–2008 update: a report from the American Heart Association Statistics Committee and Stroke Statistics Subcommittee. Circulation 2008;117:e25–146
- Rosamond W, Flegal K, Friday G, et al. Heart disease and stroke statistics–2007 update: a report from the American Heart Association Statistics Committee and Stroke Statistics Subcommittee. Circulation 2007;115:69–171
- Thom T, Haase N, Rosamond W, et al. Heart disease and stroke statistics–2006 update: a report from the American Heart Association Statistics Committee and Stroke Statistics Subcommittee. Circulation 2006;113:e85–151
- ↵Broderick J, Brott T, Kothari R, et al. The Greater Cincinnati/Northern Kentucky Stroke Study: preliminary first-ever and total incidence rates of stroke among blacks. Stroke 1998;29:415–21
- ↵Williams GR, Jiang JG, Matchar DB, et al. Incidence and occurrence of total (first-ever and recurrent) stroke. Stroke 1999;30:2523–28
- ↵Qureshi AI, Suri MF, Nasar A, et al. Changes in cost and outcome among US patients with stroke hospitalized in 1990 to 1991 and those hospitalized in 2000 to 2001. Stroke 2007;38:2180–84
- ↵Schneider AT, Kissela B, Woo D, et al. Ischemic stroke subtypes: a population-based study of incidence rates among blacks and whites. Stroke 2004;35:1552–56
- ↵Petty GW, Brown RD Jr, Whisnant JP, et al. Ischemic stroke subtypes: a population-based study of incidence and risk factors. Stroke 1999;30:2513–16
- ↵Kleindorfer D, Lindsell CJ, Brass L, et al. National US estimates of recombinant tissue plasminogen activator use: ICD-9 codes substantially underestimate. Stroke 2008;39:924–28
- ↵Morgenstern LB, Staub L, Chan W, et al. Improving delivery of acute stroke therapy: The TLL Temple Foundation Stroke Project. Stroke 2002;33:160–66
- ↵Acker JE 3rd, Pancioli AM, et al. Implementation strategies for emergency medical services within stroke systems of care: a policy statement from the American Heart Association/American Stroke Association Expert Panel on Emergency Medical Services Systems and the Stroke Council. Stroke 2007;38:3097–115
- ↵Lacy CR, Suh DC, Bueno M, et al. Delay in presentation and evaluation for acute stroke: Stroke Time Registry for Outcomes Knowledge and Epidemiology (S.T.R.O.K.E.). Stroke 2001;32:63–69
- ↵Stroke Unit Trialists’ Collaboration. Collaborative systematic review of the randomised trials of organised inpatient (stroke unit) care after stroke. BMJ 1997;314:1151–59
- Douglas VC, Tong DC, Gillum LA, et al. Do the Brain Attack Coalition's criteria for stroke centers improve care for ischemic stroke? Neurology 2005;64:422–27
- ↵Gropen TI, Gagliano PJ, Blake CA, et al. Quality improvement in acute stroke: the New York State Stroke Center Designation Project. Neurology 2006;67:88–93
- ↵Alberts MJ, Hademenos G, Latchaw RE, et al. Recommendations for the establishment of primary stroke centers. Brain Attack Coalition. JAMA 2000;283:3102–09
- ↵Alberts MJ, Latchaw RE, Selman WR, et al. Recommendations for comprehensive stroke centers: a consensus statement from the Brain Attack Coalition. Stroke 2005;36:1597–616
- ↵The Internet Stroke Center at Washington University in St. Louis. Stroke Center Directory. Available at: www.strokecenter.org/strokecenters.html. Accessed May 15, 2008.
- ↵Silverman IE, Beland DK, Chhabra J, et al. The “drip-and-ship” approach: starting IV t-PA for acute ischemic stroke at outside hospitals prior to transfer to a regional stroke center. Conn Med 2005;69:613–20
- ↵Jollis JG, Roettig ML, Aluko AO, et al. Implementation of a statewide system for coronary reperfusion for ST-segment elevation myocardial infarction. JAMA 2007;298:2371–80
- ↵MacKenzie EJ, Hoyt DB, Sacra JC, et al. National inventory of hospital trauma centers. JAMA 2003;289:1515–22
- ↵Suzuki S, Saver JL, Scott P, et al. Access to intra-arterial therapies for acute ischemic stroke: an analysis of the US population. AJNR Am J Neuroradiol 2004;25:1802–06
- ↵Connors JJ 3rd, Sacks D, Furlan AJ, et al. Training, competency, and credentialing standards for diagnostic cervicocerebral angiography, carotid stenting, and cerebrovascular intervention: a joint statement from the American Academy of Neurology, the American Association of Neurological Surgeons, the American Society of Interventional and Therapeutic Neuroradiology, the American Society of Neuroradiology, the Congress of Neurological Surgeons, the AANS/CNS Cerebrovascular Section, and the Society of Interventional Radiology. Neurology 2005;64:190–98
- ↵Higashida RT, Hopkins LN, Berenstein A, et al. Program requirements for residency/fellowship education in neuroendovascular surgery/interventional neuroradiology: a special report on graduate medical education. AJNR Am J Neuroradiol 2000;21:1153–59
- Lewandowski CA, Frankel M, Tomsick TA, et al. Combined intravenous and intra-arterial r-TPA versus intra-arterial therapy of acute ischemic stroke: Emergency Management of Stroke (EMS) Bridging Trial. Stroke 1999;30:2598–605
- Jahan R, Duckwiler GR, Kidwell CS, et al. Intraarterial thrombolysis for treatment of acute stroke: experience in 26 patients with long-term follow-up. AJNR Am J Neuroradiol 1999;20:1291–99
- Ramee SR, Subramanian R, Felberg RA, et al. Catheter-based treatment for patients with acute ischemic stroke ineligible for intravenous thrombolysis. Stroke 2004;35:109–11
- Tissue plasminogen activator for acute ischemic stroke. The National Institute of Neurological Disorders and Stroke rt-PA Stroke Study Group. N Engl J Med 1995;333:1581–87
- Clark WM, Wissman S, Albers GW, et al. Recombinant tissue-type plasminogen activator (Alteplase) for ischemic stroke 3 to 5 hours after symptom onset. The ATLANTIS Study: a randomized controlled trial. Alteplase Thrombolysis for Acute Noninterventional Therapy in Ischemic Stroke. JAMA 1999;282:2019–26
- Albers GW, Bates VE, Clark WM, et al. Intravenous tissue-type plasminogen activator for treatment of acute stroke: the Standard Treatment with Alteplase to Reverse Stroke (STARS) study. JAMA 2000;283:1145–50
- Chiu D, Krieger D, Villar-Cordova C, et al. Intravenous tissue plasminogen activator for acute ischemic stroke: feasibility, safety, and efficacy in the first year of clinical practice. Stroke 1998;29:18–22
- Zweifler RM, Brody ML, Graves GC, et al. Intravenous t-PA for acute ischemic stroke: therapeutic yield of a stroke code system. Neurology 1998;50:501–03
- Grotta JC, Burgin WS, El-Mitwalli A, et al. Intravenous tissue-type plasminogen activator therapy for ischemic stroke: Houston experience 1996 to 2000. Arch Neurol 2001;58:2009–13
- Arenillas JF, Ispierto L, Millan M, et al. Metabolic syndrome and resistance to IV thrombolysis in middle cerebral artery ischemic stroke. Neurology 2008;71:190–95
In this issue
Advertisement
H.J. Cloft, A. Rabinstein, G. Lanzino, D.F. Kallmes
Intra-Arterial Stroke Therapy: An Assessment of Demand and Available Work Force
American Journal of Neuroradiology Mar 2009, 30 (3) 453-458; DOI: 10.3174/ajnr.A1462
0 Responses
Jump to section
Related Articles
- No related articles found.
Cited By...
- Commentary on The POST trial: initial post-market experience of the Penumbra system: revascularization of large vessel occlusion in acute ischemic stroke in the United States and Europe'
- Too many fellows, too few jobs: the Australian reality
- Does the use of IV tPA in the current era of rapid and predictable recanalization by mechanical embolectomy represent good value?
- Needed Dialog: Regionalization of Stroke Systems of Care Along the Trauma Model
- Implication of the Recent Positive Endovascular Intervention Trials for Organizing Acute Stroke Care: European Perspective
- Challenges of Acute Endovascular Stroke Trials
- Assessing variability in neurointerventional practice patterns for acute ischemic stroke
- Don't Hurt My Brain ... It's My Second Favorite Organ
- Demand-supply of neurointerventionalists for endovascular ischemic stroke therapy
- The endovascular journey
- Should neurointerventional fellowship training be suspended indefinitely?
- Endovascular therapy of acute ischemic stroke: report of the Standards of Practice Committee of the Society of NeuroInterventional Surgery
- Angiographic Reconstructions From Whole-Brain Perfusion CT for the Detection of Large Vessel Occlusion in Acute Stroke
- Stroke Intervention: Catheter-Based Therapy for Acute Ischemic Stroke
- Current Status of Endovascular Stroke Treatment
- Patient Outcomes With Endovascular Embolectomy Therapy for Acute Ischemic Stroke: A Study of the National Inpatient Sample: 2006 to 2008
- Bridging Intravenous-Intra-Arterial Rescue Strategy Increases Recanalization and the Likelihood of a Good Outcome in Nonresponder Intravenous Tissue Plasminogen Activator-Treated Patients: A Case-Control Study
- The Neurointerventional Bubble
- Selective Brain Cooling with Endovascular Intracarotid Infusion of Cold Saline: A Pilot Feasibility Study
- Opinion: Interventional vascular neurology: An ability acquired through training
- Case volumes of intra-arterial and intravenous treatment of ischemic stroke in the USA
- The yes/no song of stroke case volume and manpower needs
This article has been cited by the following articles in journals that are participating in Crossref Cited-by Linking.
- John J. Ricotta, Ali AbuRahma, Enrico Ascher, Mark Eskandari, Peter Faries, Brajesh K. LalJournal of Vascular Surgery 2011 54 3
- Hamed Asadi, Richard Dowling, Bernard Yan, Peter Mitchell, Sergio GómezPLoS ONE 2014 9 2
- Philip M. Meyers, H. Christian Schumacher, E. Sander Connolly, Eric J. Heyer, William A. Gray, Randall T. HigashidaCirculation 2011 123 22
- Devin W. McBride, John H. ZhangTranslational Stroke Research 2017 8 5
- Dileep R. Yavagal, Baowan Lin, Ami P. Raval, Philip S. Garza, Chuanhui Dong, Weizhao Zhao, Erika B. Rangel, Ian McNiece, Tatjana Rundek, Ralph L. Sacco, Miguel Perez-Pinzon, Joshua M. Hare, Toru HosodaPLoS ONE 2014 9 5
- J.H. Choi, R.S. Marshall, M.A. Neimark, A.A. Konstas, E. Lin, Y.T. Chiang, H. Mast, T. Rundek, J.P. Mohr, J. Pile-SpellmanAmerican Journal of Neuroradiology 2010 31 5
- Ronil V Chandra, Thabele M Leslie-Mazwi, Brijesh P Mehta, Colin P Derdeyn, Andrew M Demchuk, Bijoy K Menon, Mayank Goyal, R Gilberto González, Joshua A HirschJournal of NeuroInterventional Surgery 2016 8 5
- J A Hirsch, A J Yoo, R G Nogueira, L A Verduzco, L H Schwamm, J C Pryor, J D Rabinov, R G GonzálezJournal of NeuroInterventional Surgery 2009 1 1
- Nils Henninger, Marc FisherTranslational Stroke Research 2016 7 4
- Waleed Brinjikji, Alejandro A. Rabinstein, David F. Kallmes, Harry J. CloftStroke 2011 42 6
More in this TOC Section
Similar Articles
Advertisement