A comprehensive stroke unit should include qualified neurointerventionalists
who are able to offer mechanical thrombectomy 24 hours a day, 7 days a week.
The intended audience includes all practitioners who care for patients in the acute phase of stroke care, from emergency medical dispatchers, fire chiefs, emergency medical services providers, emergency physicians and nurses, neurology and neurocritical care providers and nurses, stroke coordinators, and neurointerventionalists
The number of patients decreased significantly between 2013 and 2016 because of the availability of neurointerventionalists
at other regional hospitals.
Currently, intra-arterial thrombectomy (IAT) for large vessel occlusion (LVO) is becoming the standard of care in comprehensive stroke centers harboring multidisciplinary teams and qualified neurointerventionalists
; this approach shows good outcome and is also recommended by the Thai Stroke Guidelines (5).
However, for centers without available neurointerventionalists
, the DSA can be delayed because PMN-SAH is usually associated with a benign clinical course and good prognosis.
Neurosurgeons, radiologists, and other medical specialists describe the many devices, techniques, and procedures that neurointerventionalists
use in an endovascular approach to treating vascular diseases of the nervous system.
Being located next to the RVI's Emergency Department and the Regional Neurosciences Centre means that expert stroke specialists, neuroradiologists and neurointerventionalists
can carry out rapid assessment using state of the art brain imaging - essential when every second counts.
They are paying increasingly lavish amounts to recruit neurointerventionalists
so they can be high-end tertiary care centers.
The Outreach Distal Access Catheter provides neurointerventionalists
additional access and support options during minimally invasive procedures in the brain.
However, this option is not available to cardiologists, neurointerventionalists
, or those administering CT studies.
Representatives of six professional societies, including cardiologists, interventional radiologists, neurointerventionalists
, and a neurologist, composed the 15-member writing committee.