Table 1.
EVT priority of transfer based on disease entity.
Category | Timeline | Disease entity |
---|---|---|
Priority 1 | Immediate: Acute life- threatening condition or acute transfer within 6 h | Acute ischemic stroke (AIS) |
Priority 2 | Within 24 h: Loss of life or significant function that can be saved | Coiling or clipping of a ruptured saccular aneurysm with SAH Craniotomy or embolization of a ruptured AVM with prenidal/nidal aneurysms Decompressive craniectomy or hematoma evacuation* |
1. If there is not a high risk for in-hospital mortality (inferred from mortality and prognosis assessment scales such as SOFA) | ||
Priority 3 | Within 1 week: Life or significant functional loss that can be saved by intervention within 1 week | Complex ruptured intracranial aneurysm requiring special preparation or equipment |
Priority 4 | Within 1 month: Life or significant functional loss that can be saved by intervention within 1 month | 1. Ruptured AVM with no nidal aneurysms 2. High-grade dural AV fistulae with ICH 3. Carotid revascularization (endarterectomy or stenting) for symptomatic carotid stenosis |
Priority 5 | After the COVID-19 pandemic | Any other pathology with non-hemorrhagic or ischemic presentation, with a strong recommendation to address risk factors and provide continuous surveillance |