<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".08" citation="COMAR 30.08.17.08" title_num="30" subtitle_num="08" chapter_num="17" heading="Endovascular Interventional Services.">
  <text>The hospital shall have:</text>
  <paragraph num="A.">
    <text>Interventional services promptly available 24 hours a day with appropriately trained support staff and equipment, including:</text>
    <paragraph num="(1)">
      <text>Intra-arterial reperfusion therapy;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Endovascular treatment of vasospasm;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Endovascular ablation of arterial venous malformations;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Stenting/angioplasty of extracranial vessels; and</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Stenting/angioplasty of intracranial vessels;</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>A neurointerventionalist who may be a board-certified/board-eligible neuroradiologist, neurologist, or neurosurgeon on call with a 45-minute arrival time to the hospital;</text>
  </paragraph>
  <paragraph num="C.">
    <text>An on-call schedule for primary and back-up neurointerventionalists or neuroradiologists;</text>
  </paragraph>
  <paragraph num="D.">
    <text>A written protocol to accept the inter-facility transfer of acute ischemic stroke patients requiring endovascular therapy that includes communication and feedback to the sending facility; and</text>
  </paragraph>
  <paragraph num="E.">
    <text>A written protocol to accept the inter-facility transfer of acute stroke patients requiring a higher level of care.</text>
  </paragraph>
</regulation>