Comparative study shows reduced treatment delays in acute ischemic stroke patients using a novel bypass system, suggesting improved outcomes.
Objective: Rapid reperfusion is essential in acute ischemic stroke (AIS). The Saitama Stroke Network (SSN) facilitates the direct transfer of mechanical thrombectomy (MT) candidates to MT-capable hospitals. However, some candidates are misclassified and transferred to a general emergency department, delaying treatment. To address this, we implemented an “in-hospital stroke bypass” system. In this system, emergency medical technicians (EMTs) in the emergency department perform the emergent large vessel occlusion (ELVO) screen and directly activate the MT team, bypassing emergency physicians. This study aimed to evaluate the effectiveness of an in-hospital stroke bypass system in reducing treatment delays in patients with AIS who were initially transported as general emergency cases.
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Kumagai et al. (2026) studied this question.
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