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Level 1 Center Level 2 Center Level 3 Center Offers full spectrum of neuroendovascular therapy (including aneurysm treatment, surgical and endovascular, arteriovenous malformations, a rteriovenous fistulas, etc) Yes No No Offers endovascular stroke therapy Yes Yes No Offers intravenous tissue plasiminogen activator Yes Yes Yes Minimum No of stroke patients per year 250 100 50 Minimum thrombectomy volume per year 50 50 N/A Dedicated neuro-intensive care unit Yes Optional Not needed Dedicated stroke unit Yes Yes Yes Open neurosurgical services on site Yes Optional Not needed Geographic restriction? No Yes (should be more than 2 hours' transport time from a level 1 center) No Inter-facility transfers Receives cases from level 1 and 2 centers Will transfer some cases to a level 1 center. Will occasionally receive transfers from level 3 centers if no level 1 center is available within 2 hours from the level 3 center Has standardized transfer processes in place with a level 1 center (preferable), or a level 2 center
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- Recommendations from the International Paediatric Stroke Organization on pediatric neurointerventional best practices based on Delphi consensus
- Standards for European training requirements in interventional neuroradiology guidelines by the Division of Neuroradiology/Section of Radiology European Union of Medical Specialists (UEMS), in cooperation with the Division of Interventional Radiology/UEMS, the European Society of Neuroradiology (ESNR), and the European Society of Minimally Invasive Neurological Therapy (ESMINT)