You Cannot Manage What You Do Not Measure: Advances in Global Stroke Interventions and the Role of the Mechanical Thrombectomy Access Score

Global disparities in stroke care, particularly in acute interventions like mechanical thrombectomy (MT), remain profound, with the Mechanical Thombectomy Global Access for Stroke study reporting a median global MT access of just 2.79%. Furthermore, the low- and middle-income countries (LMICs) have been recognized to be disproportionately burdened in this regard as compared with high-income countries. These observed inequities in stroke care impact not only clinical outcomes but also economic productivity and social systems. Recent advancements, such as TeleStroke networks, Mobile Stroke Units, and artificial intelligence-powered tools, have the potential to bridge these gaps. The Mechanical Thrombectomy Access Score (MTAS) offers a novel standardized approach to quantifying barriers to MT access and guiding targeted interventions to mitigate such obstacles. This review explores how MTAS enables the integration of these advancements into global stroke care systems, addressing inequities and optimizing outcomes. Emphasizing the importance of measuring access to manage inequities, we propose strategies to refine and validate MTAS while advocating for systemic investments to enhance global stroke care.

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Publication Details

Journal
Cardiology in Review
Published
2025-04-04
DOI
https://doi.org/10.1097/crd.0000000000000914
Citations
1
Primary Topic
Acute Ischemic Stroke Management
Type
article
Field-Weighted Citation Impact
1.35
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article

You Cannot Manage What You Do Not Measure: Advances in Global Stroke Interventions and the Role of the Mechanical Thrombectomy Access Score

Mohammad El‐Ghanem, Eris Spirollari, Jonathan Crowe, Hamza A. Shaikh et al.
1 citations
Cardiology in Review
Acute Ischemic Stroke Management
1.35
article

You Cannot Manage What You Do Not Measure: Advances in Global Stroke Interventions and the Role of the Mechanical Thrombectomy Access Score

Mohammad El‐Ghanem, Eris Spirollari, Jonathan Crowe, Hamza A. Shaikh, Priyank Khandelwal, Karol P. Budohoski, Fazeel Siddiqui, Zaid Najdawi, Krishna Amuluru, Zurab Nadareishvili, Ariel Sacknovitz, Pankajavalli Ramakrishnan, Fawaz Al‐Mufti, Kaiz Asif, Nishita Singh, Nabeel Herial, Victor Urrutia, Mohamed Elfil, Kaustubh Limaye, Viktor Szeder, Hesham Masoud, Sushanth Aroor, Tareq Kass‐Hout, Gabor G. Toth, Hazem S. Ghaith, Ankita Jain, Dileep R. Yavagal, Santiago Ortega-Gutierrez, Shashvat Desai
article en
1 citations

Abstract

Global disparities in stroke care, particularly in acute interventions like mechanical thrombectomy (MT), remain profound, with the Mechanical Thombectomy Global Access for Stroke study reporting a median global MT access of just 2.79%. Furthermore, the low- and middle-income countries (LMICs) have been recognized to be disproportionately burdened in this regard as compared with high-income countries. These observed inequities in stroke care impact not only clinical outcomes but also economic productivity and social systems. Recent advancements, such as TeleStroke networks, Mobile Stroke Units, and artificial intelligence-powered tools, have the potential to bridge these gaps. The Mechanical Thrombectomy Access Score (MTAS) offers a novel standardized approach to quantifying barriers to MT access and guiding targeted interventions to mitigate such obstacles. This review explores how MTAS enables the integration of these advancements into global stroke care systems, addressing inequities and optimizing outcomes. Emphasizing the importance of measuring access to manage inequities, we propose strategies to refine and validate MTAS while advocating for systemic investments to enhance global stroke care.

Cardiology in ReviewVol. 33(6)
Cleveland Clinic (US), Westchester Medical Center (US), University of Miami (US), University of California, Los Angeles (US), New York Medical College (US), Al-Azhar University (EG), SUNY Upstate Medical University (US), University of Utah (US), University of Michigan (US), Thomas Jefferson University Hospital (US), University Hospital, Newark (US), University of Iowa Hospitals and Clinics (US), University of Chicago (US), Jackson Health System (US), MidHudson Regional Hospital (US), HonorHealth (US), Virginia Hospital Center (US), Johns Hopkins Hospital (US), Indiana Spine Group (US), Cooper University Health Care (US), University of Houston (US), University of Manitoba (CA), University of Virginia (US), Indiana University – Purdue University Indianapolis (US), University of Nebraska Medical Center (US), The University of Texas Health Science Center at Houston (US)
No poverty
Openalex Percentile: Top 21%
Acute Ischemic Stroke Management
1.35
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