Journal article

Time of day and endovascular treatment decision in acute stroke with relative endovascular treatment indication: insights from UNMASK EVT international survey

Johanna Maria Ospel, Nima Kashani, Mayank Goyal, Bijoy K Menon, Bruce CV Campbell, Urs Fischer, Francis Turjman, Peter Mitchell, Shinichi Yoshimura, Anna Podlasek, Alejandro A Rabinstein, Alexis T Wilson, Byung Moon Kim, Blaise W Baxter, Mathew P Cherian, Ji Hoe Heo, Mona Foss, Andrew M Demchuk, Pillai N Sylaja, Michael D Hill Show all

Journal of NeuroInterventional Surgery | BMJ PUBLISHING GROUP | Published : 2020

Abstract

BACKGROUND AND PURPOSE: The decision to proceed with endovascular thrombectomy should ideally be made independent of inconvenience factors, such as daytime. We assessed the influence of patient presentation time on endovascular therapy decision making under current local resources and assumed ideal conditions in acute ischemic stroke with level 2B evidence for endovascular treatment. METHODS AND MATERIALS: In an international cross sectional survey, 607 stroke physicians from 38 countries were asked to give their treatment decisions to 10 out of 22 randomly assigned case scenarios. Eleven scenarios had level 2B evidence for endovascular treatment: 7 daytime scenarios (7:00 am-5:00 pm) and fo..

View full abstract