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Workflow Optimization in Vertebrobasilar Occlusion

  • Clinical Investigation
  • Published:
CardioVascular and Interventional Radiology Aims and scope Submit manuscript

Abstract

Objective

In vertebrobasilar occlusion, rapid recanalization is the only substantial means to improve the prognosis. We introduced a standard operating procedure (SOP) for interventional therapy to analyze the effects on interdisciplinary time management.

Methods

Intrahospital time periods between hospital admission and neuroradiological intervention were retrospectively analyzed, together with the patients’ outcome, before (n = 18) and after (n = 20) implementation of the SOP.

Results

After implementation of the SOP, we observed statistically significant improvement of postinterventional patient neurological status (p = 0.017). In addition, we found a decrease of 5:33 h for the mean time period from hospital admission until neuroradiological intervention. The recanalization rate increased from 72.2% to 80% after implementation of the SOP.

Conclusion

Our results underscore the relevance of SOP implementation and analysis of time management for clinical workflow optimization. Both may trigger awareness for the need of efficient interdisciplinary time management. This could be an explanation for the decreased time periods and improved postinterventional patient status after SOP implementation.

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Conflict of interest

There is no conflict of interest for all authors.

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Authors and Affiliations

  1. Department of Diagnostic and Interventional Radiology, HELIOS Klinikum Wuppertal, University Hospital Witten/Herdecke, Heusnerstr. 40, 42283, Wuppertal, Germany

    Lars Kamper, Hannes Meyn, Udo Kempkes, Werner Piroth & Patrick Haage

  2. Department of Diagnostic Radiology, University Hospital, Moorenstr. 5, 40225, Duesseldorf, Germany

    Konrad Rybacki

  3. Department of Psychiatry and Psychotherapy, St. Josef-Hospital Oberhausen, Mülheimer Str. 83, 46045, Oberhausen, Germany

    Simone Nordmeyer

  4. Department of Neurology, HELIOS Klinikum Wuppertal, University Hospital Witten/Herdecke, Heusnerstr. 40, 42283, Wuppertal, Germany

    Stefan Isenmann

Authors
  1. Lars Kamper
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  2. Hannes Meyn
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  3. Konrad Rybacki
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  4. Simone Nordmeyer
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  5. Udo Kempkes
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  6. Werner Piroth
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  7. Stefan Isenmann
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  8. Patrick Haage
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Corresponding author

Correspondence to Lars Kamper.

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Kamper, L., Meyn, H., Rybacki, K. et al. Workflow Optimization in Vertebrobasilar Occlusion. Cardiovasc Intervent Radiol 35, 491–497 (2012). https://doi.org/10.1007/s00270-011-0222-y

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  • DOI: https://doi.org/10.1007/s00270-011-0222-y

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