title: Outcomes After Direct Thrombectomy or Combined Intravenous and Endovascular Treatment Are Not Different.
abstract: OBJECTIVE
  Whether intravenous thrombolysis adds a further benefit when given before endovascular thrombectomy (EVT) is unknown. Furthermore, intravenous thrombolysis delays time to groin puncture, mainly among drip and ship patients.
  
  
  METHODS
  Using region-wide registry data, we selected cases that received direct EVT or combined intravenous thrombolysis+EVT for anterior circulation strokes between January 2011 and October 2015. Treatment effect was estimated by stratification on a propensity score. The average odds ratios for the association of treatment with good outcome and death at 3 months and symptomatic bleedings at 24 hours were calculated with the Mantel-Haenszel test statistic.
  
  
  RESULTS
  We included 599 direct EVT patients and 567 patients with combined treatment. Stratification through propensity score achieved balance of baseline characteristics across treatment groups. There was no association between treatment modality and good outcome (odds ratio, 0.97; 95% confidence interval, 0.74-1.27), death (odds ratio, 1.07; 95% confidence interval, 0.74-1.54), or symptomatic bleedings (odds ratio, 0.56; 95% confidence interval, 0.25-1.27).
  
  
  CONCLUSIONS
  This observational study suggests that outcomes after direct EVT or combined intravenous thrombolysis+EVT are not different. If confirmed by a randomized controlled trial, it may have a significant impact on organization of stroke systems of care.
authors.affiliation: From the Stroke Program, Agency for Health Quality and Assessment of Catalonia, Barcelona, Spain (S. Abilleira, M.G.); CIBER Epidemiología y Salud Pública (CIBERESP) (S. Abilleira, M.G.); Cardiovascular Epidemiology Unit, Cardiology Department, Hospital Vall d'Hebron, Barcelona, Spain (A.R.); Neurology Department, Hospital de Bellvitge, Hospitalet de Llobregat, Spain (P.C.); Stroke Unit, Neurology Department, Hospital Vall d'Hebron, Barcelona, Spain (M.R.); Department of Neurosciences, Hospital Germans Trias i Pujol, Badalona, Spain (E.L.-C., S.R.); Department of Neuroscience, Hospital Clínic, Barcelona, Spain (S. Amaro); Neurology Department, IMIM-Hospital del Mar, Barcelona, Spain (A.R.-C.); Department of Neurology, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain (P.C.-R.); Neurology Department, Hospital del Parc Taulí, Sabadell, Spain (D.C.); Department of Endovascular Neuroradiology, Hospital de Bellvitge, Hospitalet de Llobregat, Spain (M.A.d.M.); Neurointerventional Department, Hospital Vall d'Hebron, Barcelona, Spain (A.T.); Department of Neuroradiology, Hospital Clínic, Barcelona, Spain (A.L.-R.); Department of Interventional Neuroradiology, Hospital del Mar, Barcelona, Spain (E.V.); and Department of Neuroradiology, Hospital del Parc Taulí, Sabadell, Spain (J.P.). sabilleira@gencat.cat.
authors.forename: Sònia
authors.initials: S
authors.lastname: Abilleira
authors.affiliation: From the Stroke Program, Agency for Health Quality and Assessment of Catalonia, Barcelona, Spain (S. Abilleira, M.G.); CIBER Epidemiología y Salud Pública (CIBERESP) (S. Abilleira, M.G.); Cardiovascular Epidemiology Unit, Cardiology Department, Hospital Vall d'Hebron, Barcelona, Spain (A.R.); Neurology Department, Hospital de Bellvitge, Hospitalet de Llobregat, Spain (P.C.); Stroke Unit, Neurology Department, Hospital Vall d'Hebron, Barcelona, Spain (M.R.); Department of Neurosciences, Hospital Germans Trias i Pujol, Badalona, Spain (E.L.-C., S.R.); Department of Neuroscience, Hospital Clínic, Barcelona, Spain (S. Amaro); Neurology Department, IMIM-Hospital del Mar, Barcelona, Spain (A.R.-C.); Department of Neurology, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain (P.C.-R.); Neurology Department, Hospital del Parc Taulí, Sabadell, Spain (D.C.); Department of Endovascular Neuroradiology, Hospital de Bellvitge, Hospitalet de Llobregat, Spain (M.A.d.M.); Neurointerventional Department, Hospital Vall d'Hebron, Barcelona, Spain (A.T.); Department of Neuroradiology, Hospital Clínic, Barcelona, Spain (A.L.-R.); Department of Interventional Neuroradiology, Hospital del Mar, Barcelona, Spain (E.V.); and Department of Neuroradiology, Hospital del Parc Taulí, Sabadell, Spain (J.P.).
authors.forename: Aida
authors.initials: A
authors.lastname: Ribera
authors.affiliation: From the Stroke Program, Agency for Health Quality and Assessment of Catalonia, Barcelona, Spain (S. Abilleira, M.G.); CIBER Epidemiología y Salud Pública (CIBERESP) (S. Abilleira, M.G.); Cardiovascular Epidemiology Unit, Cardiology Department, Hospital Vall d'Hebron, Barcelona, Spain (A.R.); Neurology Department, Hospital de Bellvitge, Hospitalet de Llobregat, Spain (P.C.); Stroke Unit, Neurology Department, Hospital Vall d'Hebron, Barcelona, Spain (M.R.); Department of Neurosciences, Hospital Germans Trias i Pujol, Badalona, Spain (E.L.-C., S.R.); Department of Neuroscience, Hospital Clínic, Barcelona, Spain (S. Amaro); Neurology Department, IMIM-Hospital del Mar, Barcelona, Spain (A.R.-C.); Department of Neurology, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain (P.C.-R.); Neurology Department, Hospital del Parc Taulí, Sabadell, Spain (D.C.); Department of Endovascular Neuroradiology, Hospital de Bellvitge, Hospitalet de Llobregat, Spain (M.A.d.M.); Neurointerventional Department, Hospital Vall d'Hebron, Barcelona, Spain (A.T.); Department of Neuroradiology, Hospital Clínic, Barcelona, Spain (A.L.-R.); Department of Interventional Neuroradiology, Hospital del Mar, Barcelona, Spain (E.V.); and Department of Neuroradiology, Hospital del Parc Taulí, Sabadell, Spain (J.P.).
authors.forename: Pedro
authors.initials: P
authors.lastname: Cardona
authors.affiliation: From the Stroke Program, Agency for Health Quality and Assessment of Catalonia, Barcelona, Spain (S. Abilleira, M.G.); CIBER Epidemiología y Salud Pública (CIBERESP) (S. Abilleira, M.G.); Cardiovascular Epidemiology Unit, Cardiology Department, Hospital Vall d'Hebron, Barcelona, Spain (A.R.); Neurology Department, Hospital de Bellvitge, Hospitalet de Llobregat, Spain (P.C.); Stroke Unit, Neurology Department, Hospital Vall d'Hebron, Barcelona, Spain (M.R.); Department of Neurosciences, Hospital Germans Trias i Pujol, Badalona, Spain (E.L.-C., S.R.); Department of Neuroscience, Hospital Clínic, Barcelona, Spain (S. Amaro); Neurology Department, IMIM-Hospital del Mar, Barcelona, Spain (A.R.-C.); Department of Neurology, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain (P.C.-R.); Neurology Department, Hospital del Parc Taulí, Sabadell, Spain (D.C.); Department of Endovascular Neuroradiology, Hospital de Bellvitge, Hospitalet de Llobregat, Spain (M.A.d.M.); Neurointerventional Department, Hospital Vall d'Hebron, Barcelona, Spain (A.T.); Department of Neuroradiology, Hospital Clínic, Barcelona, Spain (A.L.-R.); Department of Interventional Neuroradiology, Hospital del Mar, Barcelona, Spain (E.V.); and Department of Neuroradiology, Hospital del Parc Taulí, Sabadell, Spain (J.P.).
authors.forename: Marta
authors.initials: M
authors.lastname: Rubiera
authors.affiliation: From the Stroke Program, Agency for Health Quality and Assessment of Catalonia, Barcelona, Spain (S. Abilleira, M.G.); CIBER Epidemiología y Salud Pública (CIBERESP) (S. Abilleira, M.G.); Cardiovascular Epidemiology Unit, Cardiology Department, Hospital Vall d'Hebron, Barcelona, Spain (A.R.); Neurology Department, Hospital de Bellvitge, Hospitalet de Llobregat, Spain (P.C.); Stroke Unit, Neurology Department, Hospital Vall d'Hebron, Barcelona, Spain (M.R.); Department of Neurosciences, Hospital Germans Trias i Pujol, Badalona, Spain (E.L.-C., S.R.); Department of Neuroscience, Hospital Clínic, Barcelona, Spain (S. Amaro); Neurology Department, IMIM-Hospital del Mar, Barcelona, Spain (A.R.-C.); Department of Neurology, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain (P.C.-R.); Neurology Department, Hospital del Parc Taulí, Sabadell, Spain (D.C.); Department of Endovascular Neuroradiology, Hospital de Bellvitge, Hospitalet de Llobregat, Spain (M.A.d.M.); Neurointerventional Department, Hospital Vall d'Hebron, Barcelona, Spain (A.T.); Department of Neuroradiology, Hospital Clínic, Barcelona, Spain (A.L.-R.); Department of Interventional Neuroradiology, Hospital del Mar, Barcelona, Spain (E.V.); and Department of Neuroradiology, Hospital del Parc Taulí, Sabadell, Spain (J.P.).
authors.forename: Elena
authors.initials: E
authors.lastname: López-Cancio
authors.affiliation: From the Stroke Program, Agency for Health Quality and Assessment of Catalonia, Barcelona, Spain (S. Abilleira, M.G.); CIBER Epidemiología y Salud Pública (CIBERESP) (S. Abilleira, M.G.); Cardiovascular Epidemiology Unit, Cardiology Department, Hospital Vall d'Hebron, Barcelona, Spain (A.R.); Neurology Department, Hospital de Bellvitge, Hospitalet de Llobregat, Spain (P.C.); Stroke Unit, Neurology Department, Hospital Vall d'Hebron, Barcelona, Spain (M.R.); Department of Neurosciences, Hospital Germans Trias i Pujol, Badalona, Spain (E.L.-C., S.R.); Department of Neuroscience, Hospital Clínic, Barcelona, Spain (S. Amaro); Neurology Department, IMIM-Hospital del Mar, Barcelona, Spain (A.R.-C.); Department of Neurology, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain (P.C.-R.); Neurology Department, Hospital del Parc Taulí, Sabadell, Spain (D.C.); Department of Endovascular Neuroradiology, Hospital de Bellvitge, Hospitalet de Llobregat, Spain (M.A.d.M.); Neurointerventional Department, Hospital Vall d'Hebron, Barcelona, Spain (A.T.); Department of Neuroradiology, Hospital Clínic, Barcelona, Spain (A.L.-R.); Department of Interventional Neuroradiology, Hospital del Mar, Barcelona, Spain (E.V.); and Department of Neuroradiology, Hospital del Parc Taulí, Sabadell, Spain (J.P.).
authors.forename: Sergi
authors.initials: S
authors.lastname: Amaro
authors.affiliation: From the Stroke Program, Agency for Health Quality and Assessment of Catalonia, Barcelona, Spain (S. Abilleira, M.G.); CIBER Epidemiología y Salud Pública (CIBERESP) (S. Abilleira, M.G.); Cardiovascular Epidemiology Unit, Cardiology Department, Hospital Vall d'Hebron, Barcelona, Spain (A.R.); Neurology Department, Hospital de Bellvitge, Hospitalet de Llobregat, Spain (P.C.); Stroke Unit, Neurology Department, Hospital Vall d'Hebron, Barcelona, Spain (M.R.); Department of Neurosciences, Hospital Germans Trias i Pujol, Badalona, Spain (E.L.-C., S.R.); Department of Neuroscience, Hospital Clínic, Barcelona, Spain (S. Amaro); Neurology Department, IMIM-Hospital del Mar, Barcelona, Spain (A.R.-C.); Department of Neurology, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain (P.C.-R.); Neurology Department, Hospital del Parc Taulí, Sabadell, Spain (D.C.); Department of Endovascular Neuroradiology, Hospital de Bellvitge, Hospitalet de Llobregat, Spain (M.A.d.M.); Neurointerventional Department, Hospital Vall d'Hebron, Barcelona, Spain (A.T.); Department of Neuroradiology, Hospital Clínic, Barcelona, Spain (A.L.-R.); Department of Interventional Neuroradiology, Hospital del Mar, Barcelona, Spain (E.V.); and Department of Neuroradiology, Hospital del Parc Taulí, Sabadell, Spain (J.P.).
authors.forename: Ana
authors.initials: A
authors.lastname: Rodríguez-Campello
authors.affiliation: From the Stroke Program, Agency for Health Quality and Assessment of Catalonia, Barcelona, Spain (S. Abilleira, M.G.); CIBER Epidemiología y Salud Pública (CIBERESP) (S. Abilleira, M.G.); Cardiovascular Epidemiology Unit, Cardiology Department, Hospital Vall d'Hebron, Barcelona, Spain (A.R.); Neurology Department, Hospital de Bellvitge, Hospitalet de Llobregat, Spain (P.C.); Stroke Unit, Neurology Department, Hospital Vall d'Hebron, Barcelona, Spain (M.R.); Department of Neurosciences, Hospital Germans Trias i Pujol, Badalona, Spain (E.L.-C., S.R.); Department of Neuroscience, Hospital Clínic, Barcelona, Spain (S. Amaro); Neurology Department, IMIM-Hospital del Mar, Barcelona, Spain (A.R.-C.); Department of Neurology, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain (P.C.-R.); Neurology Department, Hospital del Parc Taulí, Sabadell, Spain (D.C.); Department of Endovascular Neuroradiology, Hospital de Bellvitge, Hospitalet de Llobregat, Spain (M.A.d.M.); Neurointerventional Department, Hospital Vall d'Hebron, Barcelona, Spain (A.T.); Department of Neuroradiology, Hospital Clínic, Barcelona, Spain (A.L.-R.); Department of Interventional Neuroradiology, Hospital del Mar, Barcelona, Spain (E.V.); and Department of Neuroradiology, Hospital del Parc Taulí, Sabadell, Spain (J.P.).
authors.forename: Pol
authors.initials: P
authors.lastname: Camps-Renom
authors.affiliation: From the Stroke Program, Agency for Health Quality and Assessment of Catalonia, Barcelona, Spain (S. Abilleira, M.G.); CIBER Epidemiología y Salud Pública (CIBERESP) (S. Abilleira, M.G.); Cardiovascular Epidemiology Unit, Cardiology Department, Hospital Vall d'Hebron, Barcelona, Spain (A.R.); Neurology Department, Hospital de Bellvitge, Hospitalet de Llobregat, Spain (P.C.); Stroke Unit, Neurology Department, Hospital Vall d'Hebron, Barcelona, Spain (M.R.); Department of Neurosciences, Hospital Germans Trias i Pujol, Badalona, Spain (E.L.-C., S.R.); Department of Neuroscience, Hospital Clínic, Barcelona, Spain (S. Amaro); Neurology Department, IMIM-Hospital del Mar, Barcelona, Spain (A.R.-C.); Department of Neurology, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain (P.C.-R.); Neurology Department, Hospital del Parc Taulí, Sabadell, Spain (D.C.); Department of Endovascular Neuroradiology, Hospital de Bellvitge, Hospitalet de Llobregat, Spain (M.A.d.M.); Neurointerventional Department, Hospital Vall d'Hebron, Barcelona, Spain (A.T.); Department of Neuroradiology, Hospital Clínic, Barcelona, Spain (A.L.-R.); Department of Interventional Neuroradiology, Hospital del Mar, Barcelona, Spain (E.V.); and Department of Neuroradiology, Hospital del Parc Taulí, Sabadell, Spain (J.P.).
authors.forename: David
authors.initials: D
authors.lastname: Cánovas
authors.affiliation: From the Stroke Program, Agency for Health Quality and Assessment of Catalonia, Barcelona, Spain (S. Abilleira, M.G.); CIBER Epidemiología y Salud Pública (CIBERESP) (S. Abilleira, M.G.); Cardiovascular Epidemiology Unit, Cardiology Department, Hospital Vall d'Hebron, Barcelona, Spain (A.R.); Neurology Department, Hospital de Bellvitge, Hospitalet de Llobregat, Spain (P.C.); Stroke Unit, Neurology Department, Hospital Vall d'Hebron, Barcelona, Spain (M.R.); Department of Neurosciences, Hospital Germans Trias i Pujol, Badalona, Spain (E.L.-C., S.R.); Department of Neuroscience, Hospital Clínic, Barcelona, Spain (S. Amaro); Neurology Department, IMIM-Hospital del Mar, Barcelona, Spain (A.R.-C.); Department of Neurology, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain (P.C.-R.); Neurology Department, Hospital del Parc Taulí, Sabadell, Spain (D.C.); Department of Endovascular Neuroradiology, Hospital de Bellvitge, Hospitalet de Llobregat, Spain (M.A.d.M.); Neurointerventional Department, Hospital Vall d'Hebron, Barcelona, Spain (A.T.); Department of Neuroradiology, Hospital Clínic, Barcelona, Spain (A.L.-R.); Department of Interventional Neuroradiology, Hospital del Mar, Barcelona, Spain (E.V.); and Department of Neuroradiology, Hospital del Parc Taulí, Sabadell, Spain (J.P.).
authors.forename: Maria Angels
authors.initials: MA
authors.lastname: de Miquel
authors.affiliation: From the Stroke Program, Agency for Health Quality and Assessment of Catalonia, Barcelona, Spain (S. Abilleira, M.G.); CIBER Epidemiología y Salud Pública (CIBERESP) (S. Abilleira, M.G.); Cardiovascular Epidemiology Unit, Cardiology Department, Hospital Vall d'Hebron, Barcelona, Spain (A.R.); Neurology Department, Hospital de Bellvitge, Hospitalet de Llobregat, Spain (P.C.); Stroke Unit, Neurology Department, Hospital Vall d'Hebron, Barcelona, Spain (M.R.); Department of Neurosciences, Hospital Germans Trias i Pujol, Badalona, Spain (E.L.-C., S.R.); Department of Neuroscience, Hospital Clínic, Barcelona, Spain (S. Amaro); Neurology Department, IMIM-Hospital del Mar, Barcelona, Spain (A.R.-C.); Department of Neurology, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain (P.C.-R.); Neurology Department, Hospital del Parc Taulí, Sabadell, Spain (D.C.); Department of Endovascular Neuroradiology, Hospital de Bellvitge, Hospitalet de Llobregat, Spain (M.A.d.M.); Neurointerventional Department, Hospital Vall d'Hebron, Barcelona, Spain (A.T.); Department of Neuroradiology, Hospital Clínic, Barcelona, Spain (A.L.-R.); Department of Interventional Neuroradiology, Hospital del Mar, Barcelona, Spain (E.V.); and Department of Neuroradiology, Hospital del Parc Taulí, Sabadell, Spain (J.P.).
authors.forename: Alejandro
authors.initials: A
authors.lastname: Tomasello
authors.affiliation: From the Stroke Program, Agency for Health Quality and Assessment of Catalonia, Barcelona, Spain (S. Abilleira, M.G.); CIBER Epidemiología y Salud Pública (CIBERESP) (S. Abilleira, M.G.); Cardiovascular Epidemiology Unit, Cardiology Department, Hospital Vall d'Hebron, Barcelona, Spain (A.R.); Neurology Department, Hospital de Bellvitge, Hospitalet de Llobregat, Spain (P.C.); Stroke Unit, Neurology Department, Hospital Vall d'Hebron, Barcelona, Spain (M.R.); Department of Neurosciences, Hospital Germans Trias i Pujol, Badalona, Spain (E.L.-C., S.R.); Department of Neuroscience, Hospital Clínic, Barcelona, Spain (S. Amaro); Neurology Department, IMIM-Hospital del Mar, Barcelona, Spain (A.R.-C.); Department of Neurology, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain (P.C.-R.); Neurology Department, Hospital del Parc Taulí, Sabadell, Spain (D.C.); Department of Endovascular Neuroradiology, Hospital de Bellvitge, Hospitalet de Llobregat, Spain (M.A.d.M.); Neurointerventional Department, Hospital Vall d'Hebron, Barcelona, Spain (A.T.); Department of Neuroradiology, Hospital Clínic, Barcelona, Spain (A.L.-R.); Department of Interventional Neuroradiology, Hospital del Mar, Barcelona, Spain (E.V.); and Department of Neuroradiology, Hospital del Parc Taulí, Sabadell, Spain (J.P.).
authors.forename: Sebastian
authors.initials: S
authors.lastname: Remollo
authors.affiliation: From the Stroke Program, Agency for Health Quality and Assessment of Catalonia, Barcelona, Spain (S. Abilleira, M.G.); CIBER Epidemiología y Salud Pública (CIBERESP) (S. Abilleira, M.G.); Cardiovascular Epidemiology Unit, Cardiology Department, Hospital Vall d'Hebron, Barcelona, Spain (A.R.); Neurology Department, Hospital de Bellvitge, Hospitalet de Llobregat, Spain (P.C.); Stroke Unit, Neurology Department, Hospital Vall d'Hebron, Barcelona, Spain (M.R.); Department of Neurosciences, Hospital Germans Trias i Pujol, Badalona, Spain (E.L.-C., S.R.); Department of Neuroscience, Hospital Clínic, Barcelona, Spain (S. Amaro); Neurology Department, IMIM-Hospital del Mar, Barcelona, Spain (A.R.-C.); Department of Neurology, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain (P.C.-R.); Neurology Department, Hospital del Parc Taulí, Sabadell, Spain (D.C.); Department of Endovascular Neuroradiology, Hospital de Bellvitge, Hospitalet de Llobregat, Spain (M.A.d.M.); Neurointerventional Department, Hospital Vall d'Hebron, Barcelona, Spain (A.T.); Department of Neuroradiology, Hospital Clínic, Barcelona, Spain (A.L.-R.); Department of Interventional Neuroradiology, Hospital del Mar, Barcelona, Spain (E.V.); and Department of Neuroradiology, Hospital del Parc Taulí, Sabadell, Spain (J.P.).
authors.forename: Antonio
authors.initials: A
authors.lastname: López-Rueda
authors.affiliation: From the Stroke Program, Agency for Health Quality and Assessment of Catalonia, Barcelona, Spain (S. Abilleira, M.G.); CIBER Epidemiología y Salud Pública (CIBERESP) (S. Abilleira, M.G.); Cardiovascular Epidemiology Unit, Cardiology Department, Hospital Vall d'Hebron, Barcelona, Spain (A.R.); Neurology Department, Hospital de Bellvitge, Hospitalet de Llobregat, Spain (P.C.); Stroke Unit, Neurology Department, Hospital Vall d'Hebron, Barcelona, Spain (M.R.); Department of Neurosciences, Hospital Germans Trias i Pujol, Badalona, Spain (E.L.-C., S.R.); Department of Neuroscience, Hospital Clínic, Barcelona, Spain (S. Amaro); Neurology Department, IMIM-Hospital del Mar, Barcelona, Spain (A.R.-C.); Department of Neurology, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain (P.C.-R.); Neurology Department, Hospital del Parc Taulí, Sabadell, Spain (D.C.); Department of Endovascular Neuroradiology, Hospital de Bellvitge, Hospitalet de Llobregat, Spain (M.A.d.M.); Neurointerventional Department, Hospital Vall d'Hebron, Barcelona, Spain (A.T.); Department of Neuroradiology, Hospital Clínic, Barcelona, Spain (A.L.-R.); Department of Interventional Neuroradiology, Hospital del Mar, Barcelona, Spain (E.V.); and Department of Neuroradiology, Hospital del Parc Taulí, Sabadell, Spain (J.P.).
authors.forename: Elio
authors.initials: E
authors.lastname: Vivas
authors.affiliation: From the Stroke Program, Agency for Health Quality and Assessment of Catalonia, Barcelona, Spain (S. Abilleira, M.G.); CIBER Epidemiología y Salud Pública (CIBERESP) (S. Abilleira, M.G.); Cardiovascular Epidemiology Unit, Cardiology Department, Hospital Vall d'Hebron, Barcelona, Spain (A.R.); Neurology Department, Hospital de Bellvitge, Hospitalet de Llobregat, Spain (P.C.); Stroke Unit, Neurology Department, Hospital Vall d'Hebron, Barcelona, Spain (M.R.); Department of Neurosciences, Hospital Germans Trias i Pujol, Badalona, Spain (E.L.-C., S.R.); Department of Neuroscience, Hospital Clínic, Barcelona, Spain (S. Amaro); Neurology Department, IMIM-Hospital del Mar, Barcelona, Spain (A.R.-C.); Department of Neurology, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain (P.C.-R.); Neurology Department, Hospital del Parc Taulí, Sabadell, Spain (D.C.); Department of Endovascular Neuroradiology, Hospital de Bellvitge, Hospitalet de Llobregat, Spain (M.A.d.M.); Neurointerventional Department, Hospital Vall d'Hebron, Barcelona, Spain (A.T.); Department of Neuroradiology, Hospital Clínic, Barcelona, Spain (A.L.-R.); Department of Interventional Neuroradiology, Hospital del Mar, Barcelona, Spain (E.V.); and Department of Neuroradiology, Hospital del Parc Taulí, Sabadell, Spain (J.P.).
authors.forename: Joan
authors.initials: J
authors.lastname: Perendreu
authors.affiliation: From the Stroke Program, Agency for Health Quality and Assessment of Catalonia, Barcelona, Spain (S. Abilleira, M.G.); CIBER Epidemiología y Salud Pública (CIBERESP) (S. Abilleira, M.G.); Cardiovascular Epidemiology Unit, Cardiology Department, Hospital Vall d'Hebron, Barcelona, Spain (A.R.); Neurology Department, Hospital de Bellvitge, Hospitalet de Llobregat, Spain (P.C.); Stroke Unit, Neurology Department, Hospital Vall d'Hebron, Barcelona, Spain (M.R.); Department of Neurosciences, Hospital Germans Trias i Pujol, Badalona, Spain (E.L.-C., S.R.); Department of Neuroscience, Hospital Clínic, Barcelona, Spain (S. Amaro); Neurology Department, IMIM-Hospital del Mar, Barcelona, Spain (A.R.-C.); Department of Neurology, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain (P.C.-R.); Neurology Department, Hospital del Parc Taulí, Sabadell, Spain (D.C.); Department of Endovascular Neuroradiology, Hospital de Bellvitge, Hospitalet de Llobregat, Spain (M.A.d.M.); Neurointerventional Department, Hospital Vall d'Hebron, Barcelona, Spain (A.T.); Department of Neuroradiology, Hospital Clínic, Barcelona, Spain (A.L.-R.); Department of Interventional Neuroradiology, Hospital del Mar, Barcelona, Spain (E.V.); and Department of Neuroradiology, Hospital del Parc Taulí, Sabadell, Spain (J.P.).
authors.forename: Miquel
authors.initials: M
authors.lastname: Gallofré
mesh_terms: D061605:Administration, Intravenous; D000368:Aged; D000369:Aged, 80 and over; D003131:Combined Modality Therapy; D057510:Endovascular Procedures / Q000401:mortality / Q000639:trends*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D012042:Registries; D020521:Stroke / Q000175:diagnosis* / Q000188:drug therapy* / Q000401:mortality; D017131:Thrombectomy / Q000401:mortality / Q000639:trends*; D015912:Thrombolytic Therapy / Q000401:mortality / Q000639:trends; D016896:Treatment Outcome
keywords: endovascular treatment; reperfusion; stroke; thrombectomy; thrombolysis