Key result
Interhospital transfer speeds door-to-EVT times by ~60 minutes but delays total treatment time.
Why the study?
The expansion of endovascular thrombectomy (EVT) as standard care for acute ischemic stroke has created challenges in timely access due to limited EVT-capable centers, necessitating interhospital transfers that may delay treatment.
Absolute Event Rate: 68% vs 128%
Rising EVT use in stroke warrants caution; leaves open optimal selection beyond trial criteria.
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James C. Grotta (2019) conducted an editorial in Acute ischemic stroke. Interhospital transfer vs. Direct arrival was evaluated on Door-to-EVT initiation time (minutes). Interhospital transfer for endovascular thrombectomy resulted in faster door-to-EVT times (68 vs 128 minutes) but delayed total time from last known normal to treatment by over an hour.
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