Efficacy of 'drive and retrieve' as a cooperative method for prompt endovascular treatment for acute ischemic stroke

Osanai, Toshiya; Ito, Yasuhiro; Ushikoshi, Satoshi; Aoki, Takeshi; Kawabori, Masahito; Fujiwara, Kensuke; Ogasawara, Katsuhiko; Tokairin, Kikutaro; Maruichi, Katsuhiko; Nakayama, Naoki; Ono, Kota; Houkin, Kiyohiro; Kazumata, Ken

Efficacy of 'drive and retrieve' as a cooperative method for prompt endovascular treatment for acute ischemic stroke

Osanai, Toshiya; Ito, Yasuhiro; Ushikoshi, Satoshi et al.

Journal of Neurointerventional Surgery, 2019, 11(8), 757-761

Permalink : https://hdl.handle.net/2115/76145

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アクセス権	open access
URI	https://hdl.handle.net/2115/76145
タイトル	Efficacy of 'drive and retrieve' as a cooperative method for prompt endovascular treatment for acute ischemic stroke
著者	Osanai, Toshiya ; Ito, Yasuhiro ; Ushikoshi, Satoshi ; Aoki, Takeshi ; Kawabori, Masahito ; Fujiwara, Kensuke ; Ogasawara, Katsuhiko ; Tokairin, Kikutaro ; Maruichi, Katsuhiko ; Nakayama, Naoki ; Ono, Kota ; Houkin, Kiyohiro ; Kazumata, Ken
e-Rad_Researcher 90622788 著者名 Osanai, Toshiya
著者名 Ito, Yasuhiro
著者名 Ushikoshi, Satoshi
著者名 Aoki, Takeshi
e-Rad_Researcher 50399870 著者名 Kawabori, Masahito
著者名 Fujiwara, Kensuke
e-Rad_Researcher 90322859 著者名 Ogasawara, Katsuhiko
著者名 Tokairin, Kikutaro
著者名 Maruichi, Katsuhiko
e-Rad_Researcher 40421961 著者名 Nakayama, Naoki
e-Rad_Researcher 10776016 著者名 Ono, Kota
e-Rad_Researcher 90229146 著者名 Houkin, Kiyohiro
e-Rad_Researcher 60634144 著者名 Kazumata, Ken
言語	英語
キーワード	thrombectomy
	stroke
	intervention
発行日	2019-08
出版者	BMJ Publishing Group
収録物名	Journal of Neurointerventional Surgery
巻(号)	11(8)
ページ	757-761
抄録	Background Outcomes of endovascular treatment for acute ischemic stroke depend on the time interval from onset to reperfusion. Although the centralized 'mothership' method is considered preferable, the required transportation time increases the risk that a patient with a stroke may not receive intravenous or endovascular therapy. In contrast, 'drive and retrieve' describes a system wherein doctors from comprehensive stroke centers travel to primary stroke centers and provide endovascular treatment for acute ischemic stroke. Objective To describe the drive and retrieve system and verify the effects of this new collaboration on outcomes in patients with acute ischemic stroke among facilities. Methods This non-randomized, single-arm study retrospectively analyzed patients who met the inclusion criteria for endovascular treatment provided through a drive and retrieve system. Among the 122 patients treated by this system, we analyzed the time of onset to recanalization as the primary outcome. We also analyzed the efficacy of the drive and retrieve system using geographic information system analysis. Results The median time from onset to recanalization was 229 min (IQR 170-307 min, 95% CI 201 to 252 min). The upper limit of the 95% CI for the time from onset to recanalization was shorter than the median times reported in two previous trials. Geographic information system analysis revealed an upward trend in the population coverage rate in each secondary medical area after the drive and retrieve method was introduced. Conclusion The drive and retrieve method may be an effective form of cooperation between facilities located within 1 hour of a comprehensive stroke center.
資源タイプ	学術雑誌論文
出版タイプ	Accepted Manuscript
権利情報	This article has been accepted for publication in Journal of NeuroInterventional Surgery, 2019 following peer review, and the Version of Record can be accessed online at http://dx.doi.org/10.1136/neurintsurg-2018-014296. c Author(s) (or their employer(s)) 2019. No commercial re-use. See rights and permissions. Published by BMJ.
PISSN	1759-8478
関連情報 (isVersionOf)	出版社版DOI https://doi.org/10.1136/neurintsurg-2018-014296