Aroor Sushanth Rao, Asif Kaiz S, Potter-Vig Jennifer, Sharma Arun, Menon Bijoy K, Inoa Violiza, Zevallos Cynthia B, Romano Jose G, Ortega-Gutierrez Santiago, Goldstein Larry B, Yavagal Dileep R
Department of Neurology, Rutgers New Jersey Medical School, Newark, NJ, USA.
Department of Neurosurgery, University of Illinois and AMITA Health, Chicago, IL, USA.
J Stroke. 2022 Jan;24(1):41-48. doi: 10.5853/jos.2021.03909. Epub 2022 Jan 31.
Mechanical thrombectomy (MT) is the most effective treatment for selected patients with an acute ischemic stroke due to emergent large vessel occlusions (LVOs). There is an urgent need to identify and address challenges in access to MT to maximize the numbers of patients who can benefit from this treatment. Barriers in access to MT include delays in evaluation and accurate diagnosis of LVO leading to inappropriate triage, logistical delays related to availability of facilities and trained interventionalists, and financial hurdles that affect treatment reimbursement. Collection of regional data related to these barriers is critical to better understand current access gaps and a measurable access score to thrombectomy could be useful to plan local public health intervention.
机械取栓术（MT）是治疗因急性大血管闭塞（LVO）导致的急性缺血性卒中特定患者的最有效方法。迫切需要识别并解决MT治疗可及性方面的挑战，以使能从该治疗中获益的患者数量最大化。MT治疗可及性的障碍包括LVO评估和准确诊断的延迟导致分诊不当、与设施和训练有素的介入专家可用性相关的后勤延迟，以及影响治疗报销的财务障碍。收集与这些障碍相关的区域数据对于更好地了解当前的可及性差距至关重要，而可测量的取栓术可及性评分可能有助于规划当地的公共卫生干预措施。
