One-Stop Management with Perfusion for Transfer Patients with Stroke due to a Large-Vessel Occlusion: Feasibility and Effects on In-Hospital Times

A. Brehm; I. Tsogkas; I.L. Maier; H.J. Eisenberger; P. Yang; J.-M. Liu; J. Liman; M.-N. Psychogios

doi:10.3174/ajnr.A6129

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; HERMES collaborators. Endovascular thrombectomy after large-vessel ischaemic stroke: a meta-analysis of individual patient data from five randomised trials. Lancet 2016;387:1723–31 doi:10.1016/S0140-6736(16)00163-X pmid:26898852
CrossRef PubMed
2.↵
2. Saver JL,
3. Goyal M,
4. Van Der Lugt A, et al
; HERMES collaborators. Time to treatment with endovascular thrombectomy and outcomes from ischemic stroke: a meta-analysis. JAMA 2016;316:1279–88 doi:10.1001/jama.2016.13647 pmid:27673305
CrossRef PubMed
3.↵
2. Nogueira RG,
3. Frei D,
4. Kirmani JF, et al
; Penumbra Separator 3D Investigators. Safety and efficacy of a 3-dimensional stent retriever with aspiration-based thrombectomy vs aspiration-based thrombectomy alone in acute ischemic stroke intervention: a randomized clinical trial. JAMA Neurol 2018;75:304–311 doi:10.1001/jamaneurol.2017.3967 pmid:29296999
CrossRef PubMed
4.↵
2. Psychogios MN,
3. Bähr M,
4. Liman J, et al
. One stop management in acute stroke: first mothership patient transported directly to the angiography suite. Clin Neuroradiol 2017;27:389–91 doi:10.1007/s00062-017-0574-z pmid:28271160
CrossRef PubMed
5.↵
2. Psychogios MN,
3. Behme D,
4. Schregel K, et al
. One-stop management of acute stroke patients: minimizing door-to-reperfusion times. Stroke 2017;48:3152–55 doi:10.1161/STROKEAHA.117.018077 pmid:29018132
Abstract/FREE Full Text
6.↵
2. Nogueira RG,
3. Jadhav AP,
4. Haussen DC, et al
; DAWN Trial Investigators. Thrombectomy 6 to 24 hours after stroke with a mismatch between deficit and infarct. N Engl J Med 2017;378:11–21 doi:10.1056/NEJMoa1706442 pmid:29129157
CrossRef PubMed
7.↵
2. Struffert T,
3. Deuerling-Zheng Y,
4. Kloska S, et al
. Dynamic angiography and perfusion imaging using flat detector CT in the angiography suite: a pilot study in patients with acute middle cerebral artery occlusions. AJNR Am J Neuroradiol 2015;36:1964–70 doi:10.3174/ajnr.A4383 pmid:26066625
Abstract/FREE Full Text
8.↵
2. Garcia M,
3. Okell TW,
4. Gloor M, et al
. Feasibility of flat panel detector CT in perfusion assessment of brain arteriovenous malformations: initial clinical experience. AJNR Am J Neuroradiol 2017;38:735–39 doi:10.3174/ajnr.A5091 pmid:28209577
Abstract/FREE Full Text
9.↵
2. Maus V,
3. Behme D,
4. Kabbasch C, et al
. Maximizing first-pass complete reperfusion with SAVE. Clin Neuroradiol 2018;28:327–38 doi:10.1007/s00062-017-0566-z pmid:28194477
CrossRef PubMed
10.↵
2. Lapergue B,
3. Blanc R,
4. Gory B, et al
; ASTER Trial Investigators. Effect of endovascular contact aspiration vs stent retriever on revascularization in patients with acute ischemic stroke and large vessel occlusion: the ASTER randomized clinical trial. JAMA 2017;318:443–52 doi:10.1001/jama.2017.9644 pmid:28763550
CrossRef PubMed
11.↵
2. Goyal M,
3. Menon BK,
4. Hill MD, et al
. Consistently achieving computed tomography to endovascular recanalization <90 minutes: solutions and innovations. Stroke 2014;45:e252–56 doi:10.1161/STROKEAHA.114.007366 pmid:25352482
FREE Full Text
12.↵
2. Guenego A,
3. Mlynash M,
4. Christensen S, et al
. Hypoperfusion ratio predicts infarct growth during transfer for thrombectomy. Ann Neurol 2018;84:616–20 doi:10.1002/ana.25320 pmid:30168180
CrossRef PubMed
13.↵
2. Leyhe JR,
3. Tsogkas I,
4. Hesse AC, et al
. Latest generation of flat detector CT as a peri-interventional diagnostic tool: a comparative study with multidetector CT. J Neurointerv Surg 2017;9:1253–57 doi:10.1136/neurintsurg-2016-012866 pmid:27998955
Abstract/FREE Full Text
14.↵
2. Yang P,
3. Niu K,
4. Wu Y, et al
. Time-resolved C-arm computed tomographic angiography derived from computed tomographic perfusion acquisition: new capability for one-stop-shop acute ischemic stroke treatment in the angiosuite. Stroke 2015;46:3383–89 doi:10.1161/STROKEAHA.115.011165 pmid:26493674
Abstract/FREE Full Text
15.↵
2. Hoelter P,
3. Goelitz P,
4. Lang S, et al
. Visualization of large vessel occlusion, clot extent, and collateral supply using volume perfusion flat detector computed tomography in acute stroke patients. Acta Radiol 2019 Mar 12:284185119836220. [Epub ahead of print] doi:10.1177/0284185119836220 pmid:30862169
CrossRef PubMed
16.↵
2. Yang P,
3. Niu K,
4. Wu Y, et al
. Evaluation of collaterals and clot burden using time-resolved C-arm conebeam CT angiography in the angiography suite: a feasibility study. AJNR Am J Neuroradiol 2017;38:747–52 doi:10.3174/ajnr.A5072 pmid:28126753
Abstract/FREE Full Text
17.↵
2. Schregel K,
3. Tsogkas I,
4. Peter C, et al
. Outcome prediction using perfusion parameters and collateral scores of multi-phase and single-phase CT angiography in acute stroke: need for one, two, three, or thirty scans? J Stroke 2018;20:362–72 doi:10.5853/jos.2018.00605 pmid:30309231
CrossRef PubMed
18.↵
2. Evers P
. iSchemaView Launches RAPID^TM ANGIO. BusinessWire. https://www.businesswire.com/news/home/20190228005091/en/iSchemaView-Launches-RAPID%E2%84%A2-ANGIO. Accessed April 2, 2019
19.↵
2. Psychogios M,
3. Schramm P,
4. Frölich AM, et al
. Alberta Stroke Program Early CT Scale evaluation of multimodal computed tomography in predicting clinical outcomes of stroke patients treated with aspiration thrombectomy. Stroke 2013;44:2188–93 doi:10.1161/STROKEAHA.113.001068 pmid:23715960
Abstract/FREE Full Text
20.↵
2. Struffert T,
3. Hauer M,
4. Banckwitz R, et al
. Effective dose to patient measurements in flat-detector and multislice computed tomography: a comparison of applications in neuroradiology. Eur Radiol 2014;24:1257–65 doi:10.1007/s00330-014-3136-7 pmid:24691631
CrossRef PubMed
21.↵
2. Maus V,
3. Brehm A,
4. Tsogkas I, et al
. Stent retriever placement in embolectomy: the choice of the post-bifurcational trunk influences the first-pass reperfusion result in M1 occlusions. J Neurointerv Surg 2019;11:237–40 doi:10.1136/neurintsurg-2018-014114 pmid:30054319
Abstract/FREE Full Text
22.↵
2. Schregel K,
3. Behme D,
4. Tsogkas I, et al
. Optimized management of Endovascular Treatment for Acute Ischemic Stroke. J Vis Exp 2018;131:56397 pmid:29443076
PubMed

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[1] 1.↵

Goyal M,
Menon BK,
Van Zwam WH, et al
; HERMES collaborators. Endovascular thrombectomy after large-vessel ischaemic stroke: a meta-analysis of individual patient data from five randomised trials. Lancet 2016;387:1723–31 doi:10.1016/S0140-6736(16)00163-X pmid:26898852
CrossRef PubMed

[3] Goyal M,

[4] Menon BK,

[5] Van Zwam WH, et al

[6] 2.↵

Saver JL,
Goyal M,
Van Der Lugt A, et al
; HERMES collaborators. Time to treatment with endovascular thrombectomy and outcomes from ischemic stroke: a meta-analysis. JAMA 2016;316:1279–88 doi:10.1001/jama.2016.13647 pmid:27673305
CrossRef PubMed

[8] Saver JL,

[9] Goyal M,

[10] Van Der Lugt A, et al

[11] 3.↵

Nogueira RG,
Frei D,
Kirmani JF, et al
; Penumbra Separator 3D Investigators. Safety and efficacy of a 3-dimensional stent retriever with aspiration-based thrombectomy vs aspiration-based thrombectomy alone in acute ischemic stroke intervention: a randomized clinical trial. JAMA Neurol 2018;75:304–311 doi:10.1001/jamaneurol.2017.3967 pmid:29296999
CrossRef PubMed

[13] Nogueira RG,

[14] Frei D,

[15] Kirmani JF, et al

[16] 4.↵

Psychogios MN,
Bähr M,
Liman J, et al
. One stop management in acute stroke: first mothership patient transported directly to the angiography suite. Clin Neuroradiol 2017;27:389–91 doi:10.1007/s00062-017-0574-z pmid:28271160
CrossRef PubMed

[18] Psychogios MN,

[19] Bähr M,

[20] Liman J, et al

[21] 5.↵

Psychogios MN,
Behme D,
Schregel K, et al
. One-stop management of acute stroke patients: minimizing door-to-reperfusion times. Stroke 2017;48:3152–55 doi:10.1161/STROKEAHA.117.018077 pmid:29018132
Abstract/FREE Full Text

[23] Psychogios MN,

[24] Behme D,

[25] Schregel K, et al

[26] 6.↵

Nogueira RG,
Jadhav AP,
Haussen DC, et al
; DAWN Trial Investigators. Thrombectomy 6 to 24 hours after stroke with a mismatch between deficit and infarct. N Engl J Med 2017;378:11–21 doi:10.1056/NEJMoa1706442 pmid:29129157
CrossRef PubMed

[28] Nogueira RG,

[29] Jadhav AP,

[30] Haussen DC, et al

[31] 7.↵

Struffert T,
Deuerling-Zheng Y,
Kloska S, et al
. Dynamic angiography and perfusion imaging using flat detector CT in the angiography suite: a pilot study in patients with acute middle cerebral artery occlusions. AJNR Am J Neuroradiol 2015;36:1964–70 doi:10.3174/ajnr.A4383 pmid:26066625
Abstract/FREE Full Text

[33] Struffert T,

[34] Deuerling-Zheng Y,

[35] Kloska S, et al

[36] 8.↵

Garcia M,
Okell TW,
Gloor M, et al
. Feasibility of flat panel detector CT in perfusion assessment of brain arteriovenous malformations: initial clinical experience. AJNR Am J Neuroradiol 2017;38:735–39 doi:10.3174/ajnr.A5091 pmid:28209577
Abstract/FREE Full Text

[38] Garcia M,

[39] Okell TW,

[40] Gloor M, et al

[41] 9.↵

Maus V,
Behme D,
Kabbasch C, et al
. Maximizing first-pass complete reperfusion with SAVE. Clin Neuroradiol 2018;28:327–38 doi:10.1007/s00062-017-0566-z pmid:28194477
CrossRef PubMed

[43] Maus V,

[44] Behme D,

[45] Kabbasch C, et al

[46] 10.↵

Lapergue B,
Blanc R,
Gory B, et al
; ASTER Trial Investigators. Effect of endovascular contact aspiration vs stent retriever on revascularization in patients with acute ischemic stroke and large vessel occlusion: the ASTER randomized clinical trial. JAMA 2017;318:443–52 doi:10.1001/jama.2017.9644 pmid:28763550
CrossRef PubMed

[48] Lapergue B,

[49] Blanc R,

[50] Gory B, et al

[51] 11.↵

Goyal M,
Menon BK,
Hill MD, et al
. Consistently achieving computed tomography to endovascular recanalization <90 minutes: solutions and innovations. Stroke 2014;45:e252–56 doi:10.1161/STROKEAHA.114.007366 pmid:25352482
FREE Full Text

[53] Goyal M,

[54] Menon BK,

[55] Hill MD, et al

[56] 12.↵

Guenego A,
Mlynash M,
Christensen S, et al
. Hypoperfusion ratio predicts infarct growth during transfer for thrombectomy. Ann Neurol 2018;84:616–20 doi:10.1002/ana.25320 pmid:30168180
CrossRef PubMed

[58] Guenego A,

[59] Mlynash M,

[60] Christensen S, et al

[61] 13.↵

Leyhe JR,
Tsogkas I,
Hesse AC, et al
. Latest generation of flat detector CT as a peri-interventional diagnostic tool: a comparative study with multidetector CT. J Neurointerv Surg 2017;9:1253–57 doi:10.1136/neurintsurg-2016-012866 pmid:27998955
Abstract/FREE Full Text

[63] Leyhe JR,

[64] Tsogkas I,

[65] Hesse AC, et al

[66] 14.↵

Yang P,
Niu K,
Wu Y, et al
. Time-resolved C-arm computed tomographic angiography derived from computed tomographic perfusion acquisition: new capability for one-stop-shop acute ischemic stroke treatment in the angiosuite. Stroke 2015;46:3383–89 doi:10.1161/STROKEAHA.115.011165 pmid:26493674
Abstract/FREE Full Text

[68] Yang P,

[69] Niu K,

[70] Wu Y, et al

[71] 15.↵

Hoelter P,
Goelitz P,
Lang S, et al
. Visualization of large vessel occlusion, clot extent, and collateral supply using volume perfusion flat detector computed tomography in acute stroke patients. Acta Radiol 2019 Mar 12:284185119836220. [Epub ahead of print] doi:10.1177/0284185119836220 pmid:30862169
CrossRef PubMed

[73] Hoelter P,

[74] Goelitz P,

[75] Lang S, et al

[76] 16.↵

Yang P,
Niu K,
Wu Y, et al
. Evaluation of collaterals and clot burden using time-resolved C-arm conebeam CT angiography in the angiography suite: a feasibility study. AJNR Am J Neuroradiol 2017;38:747–52 doi:10.3174/ajnr.A5072 pmid:28126753
Abstract/FREE Full Text

[78] Yang P,

[79] Niu K,

[80] Wu Y, et al

[81] 17.↵

Schregel K,
Tsogkas I,
Peter C, et al
. Outcome prediction using perfusion parameters and collateral scores of multi-phase and single-phase CT angiography in acute stroke: need for one, two, three, or thirty scans? J Stroke 2018;20:362–72 doi:10.5853/jos.2018.00605 pmid:30309231
CrossRef PubMed

[83] Schregel K,

[84] Tsogkas I,

[85] Peter C, et al

[86] 18.↵

Evers P
. iSchemaView Launches RAPID^TM ANGIO. BusinessWire. https://www.businesswire.com/news/home/20190228005091/en/iSchemaView-Launches-RAPID%E2%84%A2-ANGIO. Accessed April 2, 2019

[88] Evers P

[89] 19.↵

Psychogios M,
Schramm P,
Frölich AM, et al
. Alberta Stroke Program Early CT Scale evaluation of multimodal computed tomography in predicting clinical outcomes of stroke patients treated with aspiration thrombectomy. Stroke 2013;44:2188–93 doi:10.1161/STROKEAHA.113.001068 pmid:23715960
Abstract/FREE Full Text

[91] Psychogios M,

[92] Schramm P,

[93] Frölich AM, et al

[94] 20.↵

Struffert T,
Hauer M,
Banckwitz R, et al
. Effective dose to patient measurements in flat-detector and multislice computed tomography: a comparison of applications in neuroradiology. Eur Radiol 2014;24:1257–65 doi:10.1007/s00330-014-3136-7 pmid:24691631
CrossRef PubMed

[96] Struffert T,

[97] Hauer M,

[98] Banckwitz R, et al

[99] 21.↵

Maus V,
Brehm A,
Tsogkas I, et al
. Stent retriever placement in embolectomy: the choice of the post-bifurcational trunk influences the first-pass reperfusion result in M1 occlusions. J Neurointerv Surg 2019;11:237–40 doi:10.1136/neurintsurg-2018-014114 pmid:30054319
Abstract/FREE Full Text

[101] Maus V,

[102] Brehm A,

[103] Tsogkas I, et al

[104] 22.↵

Schregel K,
Behme D,
Tsogkas I, et al
. Optimized management of Endovascular Treatment for Acute Ischemic Stroke. J Vis Exp 2018;131:56397 pmid:29443076
PubMed

[106] Schregel K,

[107] Behme D,

[108] Tsogkas I, et al

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One-Stop Management with Perfusion for Transfer Patients with Stroke due to a Large-Vessel Occlusion: Feasibility and Effects on In-Hospital Times

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One-Stop Management with Perfusion for Transfer Patients with Stroke due to a Large-Vessel Occlusion: Feasibility and Effects on In-Hospital Times

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