Abstract TP25: Impact of Get With the Guideline on Reducing Door-to-Reperfusion Time and Promote Good Clinical Outcome for Mechanical Endovascular Reperfusion Therapy

Background: Reducing the Door to Revascularization(DTR) time is an essential factor to promise good clinical outcomes in the mechanical endovascular therapy of large vessel occlusion (LVO) of anterior circulation acute ischemic stroke. Thus, it is imperative to know the critical steps, in which we can reduce the DTR time in the acute stroke intervention. Objectives: The object of this study is to identify the critical steps that cause the delay in DTR by utilizing the Get with the Guideline (GWTG) Stroke Reporting Measures. This study further evaluates the implementation of GWTG to develop an optimal workflow to improve DTR time in acute stroke intervention. Methods: Retrospective cohort analysis was performed over a three-year-period in anterior- circulation LVO acute ischemic stroke with mechanical thrombectomy. DTR was collected and subdivided into various interval time measures including Door to Puncture(DTP) Time, Picture to Puncture(PTP) Time, and Punctureto Revascularization(PTR) Time. GWTG St...