Evidence map›Paper›PMID 40847367›Full record

ArticleNeurological research and practice2025

Interdisciplinary neurovascular networks in Germany: update 2025.

Tobias A Wagner-Altendorf, Konrad Sieb, Ansgar Berlis, Arnd Dörfler, Dorothee Mielke, Christoph Groden, Erdem Güresir, Gerhard F Hamann, Olav Jansen, Jürgen Meixensberger and 11 more

Abstract read
In one paragraph

Article in Neurological research and practice, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

21 authors.

Tobias A Wagner-AltendorfDepartment of Neurology, University Hospital Schleswig-Holstein, Ratzeburger Allee 160, 23538, Lübeck, Germany.
Konrad SiebDepartment of Neurology, University Hospital Schleswig-Holstein, Ratzeburger Allee 160, 23538, Lübeck, Germany.
Ansgar BerlisDepartment of Diagnostic and Interventional Neuroradiology, University Hospital Augsburg, Augsburg, Germany.
Arnd DörflerDepartment of Neuroradiology, Friedrich‑Alexander University of Erlangen‑Nuremberg, University Hospital Erlangen, Erlangen, Germany.
Dorothee MielkeDepartment of Neurosurgery, University Hospital Augsburg, Augsburg, Germany.
Christoph GrodenDepartment of Neuroradiology, University Medical Center Mannheim, Medical Faculty Mannheim, University of Heidelberg, Mannheim, Germany.
Erdem GüresirDepartment of Neurosurgery, University Hospital Leipzig, Leipzig, Germany.
Gerhard F HamannDepartment of Neurology and Neurological Rehabilitation, Günzburg Hospital, Günzburg, Germany.
Olav JansenDepartment of Neuroradiology, University Hospital Schleswig-Holstein, Kiel, Germany.
Jürgen MeixensbergerDepartment of Neurosurgery, University Hospital Leipzig, Leipzig, Germany.
Oliver MüllerDepartment of Neurosurgery, Dortmund Hospital, Dortmund, Germany.
Darius G NabaviDepartment of Neurology, Vivantes Klinikum Neukölln, Berlin, Germany.
Tobias Neumann-HaefelinDepartment of Neurology, Fulda Hospital, Fulda, Germany.
Martin OssenbrinkLGA InterCert GmbH, TÜV Rheinland Group, Nuremberg, Germany.
Jan RegelsbergerDepartment of Neurosurgery, Diako Krankenhaus Flensburg, Flensburg, Germany.
Georg RoylDepartment of Neurology, University Hospital Schleswig-Holstein, Ratzeburger Allee 160, 23538, Lübeck, Germany.
Hartmut VatterDepartment of Neurosurgery, University Hospital Bonn, Bonn, Germany.
Werner WeberDepartment of Diagnostic and Interventional Radiology, Neuroradiology and Nuclear Medicine, Knappschaft Kliniken University Hospital, Bochum, Germany.
Nils WerringDepartment of Neurology, University Hospital Schleswig-Holstein, Ratzeburger Allee 160, 23538, Lübeck, Germany.
Jens MinnerupDepartment of Neurology, University Hospital Schleswig-Holstein, Ratzeburger Allee 160, 23538, Lübeck, Germany. Jens.Minnerup@uni-luebeck.de.ORCID http://orcid.org/0000-0002-0382-5759
Joachim RötherDepartment of Neurology, Asklepios Hospital Altona, Hamburg, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNeurovascular networks (NVNs) in Germany are supra-regional care structures for patients with neurovascular diseases. Each NVN consists of a tertiary care center serving as the coordinating center-in some cases, two or three coordinating centers-and at least three partner hospitals. Since 2018, 19 neurovascular networks (NVNs) have been audited and certified. NVNs play a crucial role in stroke care in Germany, as first described and quantified in 2020.

methodsThe present article provides an update on interdisciplinary NVNs in Germany and outlines recent developments in neurovascular patient care. Audit reports from 19 NVNs, certified between 2021 and 2024, were analyzed, and compared to previously reported data from 2017 to 2019. Additionally, structural and quality-related parameters for coordinating centers and partner hospitals were compared.

resultsThe number of NVNs increased from 15 to 19, with approximately 120,000 from an estimated 262,000 neurovascular patients in Germany now treated annually in certified NVN hospitals. In particular, annual thrombectomy rates at coordinating centers have increased over-proportionally (> 4400, as compared to previously < 2500), and surgical treatments for intracerebral hemorrhages have also increased. Process times-door-to-needle and door-to-groin times-remained stable or exhibited slight increases. Substantial variability was observed among NVN partner hospitals regarding procedural volumes.

conclusionsThe treatment of patients with neurovascular diseases in Germany has expanded considerably within certified NVN hospitals in recent years. The NVNs ensure comprehensive, high-quality stroke care nationwide.

Indexed as

Carotid endarterectomyCarotid stentingIntracranial aneurysmNeurovascular networksStroke careThrombectomyThrombolysis

Identifiers

PMID40847367
PMCPMC12374462

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.