# COMAR Title 30 — Maryland Institute for Emergency Medical Services Systems (MIEMSS)

## Subtitle 08 — Designation of Trauma and Specialty Referral Centers

### Chapter 19 — Designated Thrombectomy-Capable Primary Stroke Center Standards

#### Regulation .10 Endovascular Interventional Services.

*COMAR 30.08.19.10*

A hospital designated as a thrombectomy-capable primary stroke center shall have:

A. Interventional services promptly available 24 hours a day with appropriately trained support staff and necessary equipment;

B. Interventional services that include:

  (1) Intra-arterial reperfusion therapy; and

  (2) Stenting/angioplasty of intracranial vessels;

C. 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;

D. An on-call schedule for a primary and a back-up neurointerventionalist; and

E. 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.