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Article: Overview of endovascular thrombectomy accessibility gap for acute ischemic stroke in Asia: a multi-national survery

TitleOverview of endovascular thrombectomy accessibility gap for acute ischemic stroke in Asia: a multi-national survery
Authors
KeywordsStroke
thrombectomy
Asia
accessibility
stroke burden
Issue Date2019
PublisherSage Publications Ltd. The Journal's web site is located at http://www.sagepub.in/journals/Journal202429
Citation
International Journal of Stroke, 2019, Epub How to Cite?
AbstractEndovascular thrombectomy revolutionized the treatment of acute ischemic stroke. Nevertheless, access to endovascular thrombectomy is limited in many parts of the world. Asia holds 60% of the world’s population and its countries carry some of the highest stroke disease burden. To understand the availability of endovascular thrombectomy and intravenous thrombolysis in this region, we interviewed stroke neurologists and neuro-interventionists of 19 Asian countries, and found a large disparity in access to endovascular thrombectomy and intravenous thrombolysis between high- and low-income countries. Lack of neuro-interventionists, comprehensive stroke units, stroke triage systems and high treatment cost are the major obstacles to wider accessibility of endovascular thrombectomy, especially among developing countries. The potential solutions to provide equitable access to stroke revascularization therapy are discussed.
Persistent Identifierhttp://hdl.handle.net/10722/278654
ISSN
2017 Impact Factor: 3.859
2015 SCImago Journal Rankings: 1.511

 

DC FieldValueLanguage
dc.contributor.authorTsang, ACO-
dc.contributor.authorYang, IH-
dc.contributor.authorOrru, E-
dc.contributor.authorNguyen, QA-
dc.contributor.authorPamatmat, R-
dc.contributor.authorMedhi, G-
dc.contributor.authorWan, Y-
dc.contributor.authorHuang, S-
dc.date.accessioned2019-10-21T02:11:34Z-
dc.date.available2019-10-21T02:11:34Z-
dc.date.issued2019-
dc.identifier.citationInternational Journal of Stroke, 2019, Epub-
dc.identifier.issn1747-4930-
dc.identifier.urihttp://hdl.handle.net/10722/278654-
dc.description.abstractEndovascular thrombectomy revolutionized the treatment of acute ischemic stroke. Nevertheless, access to endovascular thrombectomy is limited in many parts of the world. Asia holds 60% of the world’s population and its countries carry some of the highest stroke disease burden. To understand the availability of endovascular thrombectomy and intravenous thrombolysis in this region, we interviewed stroke neurologists and neuro-interventionists of 19 Asian countries, and found a large disparity in access to endovascular thrombectomy and intravenous thrombolysis between high- and low-income countries. Lack of neuro-interventionists, comprehensive stroke units, stroke triage systems and high treatment cost are the major obstacles to wider accessibility of endovascular thrombectomy, especially among developing countries. The potential solutions to provide equitable access to stroke revascularization therapy are discussed.-
dc.languageeng-
dc.publisherSage Publications Ltd. The Journal's web site is located at http://www.sagepub.in/journals/Journal202429-
dc.relation.ispartofInternational Journal of Stroke-
dc.rightsInternational Journal of Stroke. Copyright © Sage Publications Ltd.-
dc.subjectStroke-
dc.subjectthrombectomy-
dc.subjectAsia-
dc.subjectaccessibility-
dc.subjectstroke burden-
dc.titleOverview of endovascular thrombectomy accessibility gap for acute ischemic stroke in Asia: a multi-national survery-
dc.typeArticle-
dc.identifier.emailTsang, ACO: acotsang@hku.hk-
dc.identifier.authorityTsang, ACO=rp01519-
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1177/1747493019881345-
dc.identifier.pmid31581928-
dc.identifier.scopuseid_2-s2.0-85074571463-
dc.identifier.hkuros307172-
dc.identifier.volumeEpub on 2019-10-03-
dc.publisher.placeUnited Kingdom-

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