title: Logistical and financial obstacles for endovascular therapy of acute stroke implementation.
abstract: After publication of the recent positive randomized clinical endovascular trials, several questions and obstacles for wide spread implementation remain. We address specific issues namely efficacy, safety, logistics, timing, sedation, numbers, imaging, manpower, centers, geographics, and economical aspects of endovascular therapy. As we move forward, a high degree of collaboration will be crucial to implement a therapy with established overwhelming treatment efficacy for severe acute stroke patients.
authors.affiliation: Department of Neurology, Johannes Wesling Medical Center Minden, Minden, Germany Department of Neurogeriatry, Johannes Wesling Medical Center Minden, Minden, Germany peter.schellinger@muehlenkreiskliniken.de.
authors.forename: Peter D
authors.initials: PD
authors.lastname: Schellinger
authors.affiliation: University Clinic at Erlangen, Erlangen, Germany.
authors.forename: Martin
authors.initials: M
authors.lastname: Köhrmann
authors.affiliation: Emory University School of Medicine, Atlanta, GA, USA Marcus Stroke & Neuroscience Center, Atlanta, GA, USA Grady Memorial Hospital, Atlanta, GA, USA.
authors.forename: Raul G
authors.initials: RG
authors.lastname: Nogueira
mesh_terms: D057510:Endovascular Procedures / Q000009:adverse effects / Q000191:economics; D006801:Humans; D016032:Randomized Controlled Trials as Topic; D020521:Stroke / Q000000981:diagnostic imaging / Q000191:economics / Q000601:surgery*
keywords: Acute stroke therapy; cerebral infarction; intervention; ischaemic stroke; reperfusion; stroke; stroke facilities; thrombolysis