Evaluation of direct-to-angiography suite (DTAS) and conventional clinical pathways in stroke care: a simulation study.
Mehrad BastaniTimothy G WhiteGabriela MartinezJoseph OharaKinpritma SanghaMichele GribkoJeffrey M KatzHenry H WooArtem T BoltyenkovJason WangElizabeth RulaJason J NaidichPina C SanelliPublished in: Journal of neurointerventional surgery (2021)
The results of the SimStroke model showed comparable time intervals for door-to-reperfusion for DTAS compared with a conventional stroke care pathway. However, the DTAS pathway was very sensitive to baseline angiography suite utilization, with even a 10% increase eliminating the advantages of DTAS compared with the conventional pathway. Given the minimal time savings modeled here, further investigation of implementing the DTAS pathway in clinical care is warranted.