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  • Should Endovascular Therapy Be Centralized Regionally?

    Theoretical study says yes, but practical concerns loom large

    Action Points

    • Delivery of endovascular therapy (EVT) for stroke patients with suspected large vessel occlusion (LVO) should be centralized regionally, according to a modeling study.
    • Note that if treatment times are slow at the thrombolysis center, patient transport systems should consider bypassing it if the two centers are 60 minutes apart or less whereas if travel time is more than 60 minutes between centers, bypassing it is not always the best option.

    Delivery of endovascular therapy (EVT) for stroke patients with suspected large vessel occlusion (LVO) should be centralized regionally, a theoretical, conditional probability model suggested.

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