Health technology assessment of a national emergency endovascular service for mechanical thrombectomy in the management of acute ischaemic stroke
Health Information and Quality Authority
Record ID 32018002762
English
Authors' objectives:
To inform decisions around a national emergency endovascular service using mechanical thrombectomy devices for the management of acute ischaemic stroke.
Authors' methods:
This health technology assessment (HTA) was initially undertaken as a pilot rapid assessment through HIQA’s work with the European Network for Health Technology Assessment (EUnetHTA). Co-authored by HTA colleagues from Germany, the rapid assessment included a systematic review of the efficacy and safety of mechanical thrombectomy for selected patients. The EUnetHTA report, published in December 2015, concluded that endovascular therapy using mechanical thrombectomy is a safe and effective adjunct to standard medical care for selected patients. In accordance with the terms of reference, the EUnetHTA report was subsequently updated and adapted to include data on the burden of stroke in Ireland, a systematic review of the cost-effectiveness literature, an economic model to estimate the cost-effectiveness and budget impact, as well as a review of the organisational and ethical implications in the context of the Irish healthcare system.
Use of a systematic review approach allows us to identify, appraise and synthesise the best available evidence and is done in line with international best practice. An Expert Advisory Group (EAG) was convened to inform and guide the process, and provide expert advice, information and access to data, where appropriate. The EAG comprised representation from relevant stakeholders including the HSE’s National Clinical Programme for Stroke, clinicians with specialist expertise, patient representation, representation from the National Ambulance Service and international HTA experts.
Details
Project Status:
Completed
URL for project:
https://www.hiqa.ie/reports-and-publications/health-technology-assessment/hta-mechanical-thrombectomy-stroke
Year Published:
2017
URL for published report:
https://www.hiqa.ie/sites/default/files/2017-02/Mechanical-Thrombectomy-technical-report.pdf
Requestor:
HSE’s National Clinical Programme for Stroke
English language abstract:
An English language summary is available
Publication Type:
Full HTA
Country:
Ireland
MeSH Terms
- Thrombectomy
- Ischemic Stroke
- Endovascular Procedures
- Brain Ischemia
Contact
Organisation Name:
Health Information and Quality Authority (HIQA)
Contact Address:
Health Information and Quality Authority, George's Court, George's Lane,Smithfield, Dublin 7. PH : + 353 (01) 814 7464
Contact Name:
info@hiqa.ie
Contact Email:
info@hiqa.ie
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.