First level stroke unit |
Multiprofessional competences into hospital |
Dedicated neurologist and nurses |
One bed with continuous monitoring, at least |
Early rehabilitation |
Intravenous thrombolysis |
Neurosurgical on-call availability (also in other hospital) |
Neurosonology with Doppler ultrasound and echocardiography 24/7 availability of CT scan and CT angiography (at least 16 multislices) and/or MR (also with DWI) and MR angiography |
Linking with second level stroke units and rehabilitation units |
Second level stroke unit |
The same as first level and: |
500 admissions/year at least |
24/4 neuroradiology with CT (64 multislices) and CT angiography, MR with DW and PW images and MR angiography |
Endovascular interventional unit |
24/7 neurosurgery |
24/7 vascular surgery |
Cerebral angiography |
Intra-arterial thrombolysis (urgency), mechanical thrombectomy (urgency), extra- and intracranial stenting |
Urgent embolization of arteriovenous malformations and aneurisms, endarterectomy |
Decompressive hemicraniectomy |
Aneurismal clipping |