News | February 01, 2013

Medical Societies Set Guidelines for Catheter-Based Stroke Interventions

Society of Interventional Radiology publishes guidelines capturing consensus on clinical practice of intra-arterial stroke revascularization, recommend national stroke outcomes registry

February 1, 2013 — The first outcome-based guidelines for interventional treatment of acute ischemic stroke — providing recommendations for rapid treatment — will benefit individuals suffering from brain attacks, often caused by artery-blocking blood clots. Representatives from the Society of Interventional Radiology (SIR) and seven other medical societies created a multispecialty and international consensus on the metrics and benchmarks for processes of care and technical and clinical outcomes for stroke patients.

The guidelines will be published first in SIR's Journal of Vascular and Interventional Radiology and subsequently by each society either in its respective journal or on its website.

"These groundbreaking guidelines are the product of two years of collaboration among multidisciplinary teams from eight societies," said Marshall E. Hicks, M.D., FSIR, president of the Society of Interventional Radiology, the national society of nearly 5,000 doctors, scientists and allied health professionals dedicated to improving health care through minimally invasive treatments. "With real progress being made in research and treatment of stroke over the last decade, this distinguished group of international authors — from societies whose members perform minimally invasive stroke treatments — felt that the time was right for a consensus on how to effectively treat and manage stroke patients," said Hicks, the head of the division of diagnostic imaging at the University of Texas MD Anderson Cancer Center in Houston.

"The one constant in stroke treatment is time," noted David Sacks, M.D., FSIR, an interventional radiologist at Reading Hospital and Medical Center in West Reading, Pa., and the study's lead author. "Seconds count from time of admission to treatment. Meeting the outcomes described in these guidelines will ultimately benefit patients by requiring strict adherence to a rapid treatment schedule," he added. Stroke is the fourth leading cause of adult death and disability in the United States and the third leading cause of death in Canada, Europe and Japan.

The guidelines recommend submission of outcomes to a national registry that will allow research and also comparisons between facilities. Sacks noted that the benchmarks in the paper are intended to be used in a quality assurance program to assess and improve processes and outcomes in acute stroke revascularization, which is the opening of a blocked artery to the brain. He said that the guidelines may also be helpful to facilities that are interested in applying for accreditation as a comprehensive stroke center. "As the field of stroke revascularization evolves, the guidelines will be revised as needed," he added.

In 2003, the Journal of Vascular and Interventional Radiology published a joint society document to guide the design and reporting of stroke research; the new guidelines address clinical care. The co-authors completed a review of the relevant literature from 1986 through February 2012 as the basis for creating performance metrics and thresholds. "All society representatives vigorously discussed each issue based on the literature review and personal experience," said Sacks.

For more information: www.SIRweb.org

Related Content

News | Cardiac Diagnostics| September 12, 2017
Contracting shingles, a reactivation of the chickenpox virus, increases a person’s risk of stroke and heart attack,...
Protembis Announces Successful First-in-Human Use of  ProtEmbo Cerebral Protection System in European Trial
News | Embolic Protection Devices| September 07, 2017
Protembis GmbH announced the first clinical applications of its ProtEmbo Cerebral Protection System to complement a...
Merit Medical Announces Advanced Interventional Cardiology Transradial Intervention Education Course
News | Radial Access| August 23, 2017
Merit Medical Systems Inc. will partner with internationally renowned interventional cardiologist Ferdinand Kiemeneij,...
PinnacleHealth First in Pennsylvania to Implant Sentinel Cerebral Protection System
News | Embolic Protection Devices| August 23, 2017
PinnacleHealth is the first hospital in Pennsylvania and one of the first 10 in the country to introduce new technology...
Houston Methodist Hospital Enters Multi-Year Technology and Research Agreement With Siemens Healthineers
News | Cardiac Imaging| August 17, 2017
Houston Methodist Hospital and Siemens Healthineers have entered into a multi-year agreement to bring cutting-edge...
Virtual Phantoms Inc. Releases VirtualDose-IR
Technology | Radiation Dose Management| August 07, 2017
Virtual Phantoms Inc. announced the release of VirtualDoseIR, a tool for assessing organ dose from interventional...
Moffitt Cancer Center Enhances Patient Care with Toshiba Medical's Infinix-i 4-D
News | Interventional Radiology| August 03, 2017
Cancer patients at Moffitt Cancer Center in Tampa, Fla., now have access to advanced diagnostic imaging for fast and...
Merge Hemo cath lab hemodynamics monitoring system.

Hemodynamic data shown on screens from the Merge Hemo recording system. It is among the newer generation hemodynamic systems for cath labs that are more user friendly and have technologies to speed workflow.

Feature | Hemodynamic Monitoring Systems| August 03, 2017 | Dave Fornell
The current generation of...
Sponsored Content | Videos | Peripheral Artery Disease (PAD)| July 25, 2017
This video case study, provided by Gore Medical, is titled "Tackling Complex Cases in Dialysis Access," by John Ross,
SanBio Receives $20 Million Grant for Stroke Clinical Trial
News | Stroke| July 12, 2017
July 12, 2017 — SanBio Inc.
Overlay Init