Highly Visible Wall‐Timer to Reduce Endovascular Treatment Time for Stroke

Background Endovascular therapy for acute ischemic stroke has revolutionized clinical care patients with and large vessel occlusion, but treatment remains time sensitive. At our center, up to half of the door‐to‐groin is accounted after patient arrives in angio‐suite. Here, we apply concept a highly visible timer angio‐suite quantify impact on endovascular time. Methods This was single‐center prospective pseudorandomized study conducted over 32‐week period. Pseudorandomization achieved by turning off 2‐week intervals. The primary outcome angio‐suite‐to‐groin time, secondary outcomes were angio‐suite‐to‐intubation groin‐to‐recanalization 90‐day modified Rankin scale. A stratified analysis performed based type anesthesia (ie, endotracheal intubation versus not). Results During period, 97 mechanical thrombectomies performed. 38 59 cases, respectively. resulted faster (28 33 minutes; P =0.02). 5‐minute reduction maintained adjusting status multivariate regression ( There no difference scale between groups. consistent across Conclusions meaningful, albeit modest, stroke. Given lack risk low cost, it reasonable centers consider improve times.