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Stroke Thrombectomy

Early after stroke, emergency mechanical thrombectomy can dramatically increase the chance of a full recovery. Patients, with extensive thrombus, are less likely to respond to conventional intravenous thrombolysis and more likely to experience severe disability. An estimated 800 patients per year are eligible for this intervention which has been the recommended treatment for large vessel occlusion since 2017.  Four years on, less than 10% of those who might benefit undergo such a procedure.

THE MEMBERSHIP

The individuals participating in this focus group include 6 UK interventional cardiologists who have been involved in either the procedure, training issues or the discussions to date (including the Chairman of the ESC Council on Stroke) as well as a key neurointerventional colleague and a stroke clinical lead.

THE AIM

To enable 24/7 nationwide equitable access to this highly effective intervention for stroke. This is unlikely to occur soon, or be sustainable, if delivered only by neurointerventional radiologists in the UK. The aim of this focus group is to examine in detail how interventional cardiologists in the UK may contribute to patient care.

THE REMIT OF THE FOCUS GROUP

To clarify the case for need and come up with proposals for making progress, in collaboration with Radiology and the national clinical teams. Appropriate training and accreditation for interventional cardiologists needs to be agreed upon and access to this training obtained.

PROGRESS

The preliminary activity and a paper written according to the above remit, were presented to BCIS Council in January 2021. This paper will be presented to the Thrombectomy Implementation Group and National clinical directors in April 2021.

 

GROUP MEMBERS

Helen Routledge

Chair

Worcestershire Royal Hospital

Raj Bathula

London

Alison Calver

Southampton University Hospital

Nick Curzen

Southampton University Hospital

Hany Eteiba

Thomas Keeble

Basildon

Jan Kovac

Iqbal Malik

Imperial College NHS Trust

Will Roberts

Worcestershire Royal Hospital

Andrew Sharp

University Hospital of Wales

Mark Westwood

London