| Title: |
One-Stop Management Improves Outcome for Large Vessel Occlusion Stroke |
| Authors: |
Ahmad, Beschan; Maier, Ilko L.; Wasser, Katrin; Dakna, Mohamed; Behme, Daniel; Schnieder, Marlena; Tsogkas, Ioannis; Ernst, Marielle; Brehm, Alex; Bähr, Mathias; Psychogios, Marios-Nikos; Liman, Jan; Reich, Arno; Nikoubashman, Omid; Nolte, Christian; Siebert, Eberhard; Petzold, Gabor; Dorn, Franziska; Schäfer, Jan Hendrik; Keil, Fee; Ernemann, Ulrike |
| Contributors: |
Ahmad, Beschan; Maier, Ilko L.; Wasser, Katrin; Dakna, Mohamed; Behme, Daniel; Schnieder, Marlena; Tsogkas, Ioannis; Ernst, Marielle; Brehm, Alex; Bähr, Mathias; Psychogios, Marios-Nikos; Liman, Jan; Reich, Arno; Nikoubashman, Omid; Nolte, Christian; Siebert, Eberhard; Petzold, Gabor; Dorn, Franziska; Schäfer, Jan Hendrik; Keil, Fee; Ernemann, Ulrike |
| Publication Year: |
2026 |
| Collection: |
Georg-August-Universität Göttingen: GoeScholar |
| Description: |
BACKGROUND: Time to mechanical thrombectomy (MT) is a critical predictor of functional outcomes in large vessel occlusion stroke. This study compares 2 large vessel occlusion stroke treatment approaches: the one-stop management approach (OSM), in which patients are directly transferred to the angiosuite for flat detector computed tomography and MT, versus the conventional approach, which includes multidetector CT before MT. METHODS: Between March 2014 and December 2019, 205 patients with acute ischemic stroke with a National Institutes of Health Stroke Scale (NIHSS) score of ≥7 and symptom onset ≤4.5 hours underwent large vessel occlusion stroke-treatment using the OSM approach at the University Medical Center Göttingen, Germany. After confirmation of LVO, eligible patients received intravenous thrombolysis followed by MT. Ordinal regression corrected for all confounders. Primary end points included door-to-groin and door-to-reperfusion times, NIHSS at discharge, NIHSS improvement, and modified Rankin Scale at 90 days. Propensity score matching accounted for age, sex, NIHSS, thrombolysis, Thrombolysis in Cerebral Ischemia score, and post-MT intracranial hemorrhage. Treatment times were noncensored. RESULTS: Compared with 2470 patients from the German Stroke Registry treated conventionally (non-OSM group), OSM patients had significantly shorter door-to-groin (33.33±±17.91 versus 95.73±±158.33 minutes; P |
| Document Type: |
article in journal/newspaper |
| Language: |
English |
| DOI: |
10.1161/SVIN.125.001941 |
| Availability: |
https://resolver.sub.uni-goettingen.de/purl?gro-2/164459; https://doi.org/10.1161/SVIN.125.001941 |
| Rights: |
info:eu-repo/semantics/openAccess ; http://creativecommons.org/licenses/by-nc/4.0/ |
| Accession Number: |
edsbas.5752504F |
| Database: |
BASE |