Response by Jadhav et al to Letter Regarding Article, “Interfacility Transfer Directly to the Neuroangiography Suite in Acute Ischemic Stroke Patients Undergoing Thrombectomy”
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We thank Lederer et al for their response to our article.1 We agree that increasing lines of evidence now support the importance of fast symptoms onset to recanalization in endovascular therapy with every minute saved translating into more days of extra healthy life. Opportunities to reduce time to recanalization can be considered in the prehospital setting (with triage of appropriate patients directly to endovascular centers), in the referral setting (with efforts to reduce door-in-door-out times) and at the destination hospital. Numerous studies have demonstrated various strategies to reduce hospital arrival to groin access times including minimization of advanced imaging, parallel processing, early activation of the neurocath team, direct transfer to the neurocath laboratory, and minimization of pre- and periprocedural steps …