ArticleInterventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences2025
Optimizing mechanical thrombectomy - The impact of cath lab staff turnover on stroke thrombectomy times.
Article in Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It carries an expression of concern. Not yet cited in PubMed.
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Abstract
BackgroundCath lab staff turnover increased dramatically after the COVID pandemic making it difficult to retain neurology-trained cath lab technicians (neuro-CLTs). We investigated the impact this had on local stroke quality metrics.MethodsThis is a retrospective study of a prospectively maintained thrombectomy (EVT) patient database at a single comprehensive stroke center from December 2021 through October 2023. Included patients underwent EVT for treatment of acute ischemic large vessel occlusion (LVO) stroke and had no missing outcomes data. Patients were grouped based on whether a neuro-CLT or non-neurology-trained CLT (other-CLT) was present for the procedure. Outcomes of interest included time from arterial access to the first EVT pass and time from cath lab arrival to arterial access.ResultsWe observed a faster median time from access to first pass when working with neuro-CLTs (10 min IQR 7-15) compared to other-CLTs (15 min IQR 10-24,
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