title: [From stroke to reperfusion : How can we be faster?]
abstract: BACKGROUND
  During the last two decades major efforts in clinical research have led to the establishment of intravenous thrombolysis as the first line acute therapy for ischemic stroke. More recently, data from successful phase III trials have provided proof of the efficiency of mechanical recanalization in acute stroke. The fact that the efficiency of the available therapies can be increased through faster delivery is well documented; however, many institutions dealing with the emergency care of stroke patients lack organizational or infrastructural arrangements to optimize time efficiency in the diagnostic and therapeutic workup.
  
  
  CONCLUSIONS
  Many of these arrangements have been well evaluated, can be implemented at reasonable costs and have been proven to increase the beneficial effects of thrombolytic therapy.
authors.affiliation: Abteilung Neurologie mit Schwerpunkt neurovaskuläre Erkrankungen, Universitätsklinikum Tübingen, Hoppe-Seyler-Str. 3, 72070, Tübingen, Deutschland.
authors.forename: F
authors.initials: F
authors.lastname: Härtig
authors.affiliation: Neurologische Klinik, Universitätsklinikum Heidelberg, Im Neuenheimer Feld 400, 69120, Heidelberg, Deutschland.
authors.forename: J
authors.initials: J
authors.lastname: Purrucker
authors.affiliation: Neurologische Klinik, Universitätsklinikum Heidelberg, Im Neuenheimer Feld 400, 69120, Heidelberg, Deutschland.
authors.forename: C
authors.initials: C
authors.lastname: Hametner
authors.affiliation: Abteilung Neurologie mit Schwerpunkt neurovaskuläre Erkrankungen, Universitätsklinikum Tübingen, Hoppe-Seyler-Str. 3, 72070, Tübingen, Deutschland. sven.poli@uni-tuebingen.de.
authors.forename: S
authors.initials: S
authors.lastname: Poli
mesh_terms: D002545:Brain Ischemia; D005343:Fibrinolytic Agents; D006801:Humans; D020521:Stroke; D017131:Thrombectomy; D015912:Thrombolytic Therapy
chemical_list: D005343:Fibrinolytic Agents
keywords: Door-to-needle time; Stroke unit; Thrombectomy; Thrombolytic therapy; Time management