The hospital shall have:

1. A. Interventional services promptly available 24 hours a day with appropriately trained support staff and equipment, including:

   1. (1) Intra-arterial reperfusion therapy;
   2. (2) Endovascular treatment of vasospasm;
   3. (3) Endovascular ablation of arterial venous malformations;
   4. (4) Stenting/angioplasty of extracranial vessels; and
   5. (5) Stenting/angioplasty of intracranial vessels;
2. B. 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;
3. C. An on-call schedule for primary and back-up neurointerventionalists or neuroradiologists;
4. D. 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
5. E. A written protocol to accept the inter-facility transfer of acute stroke patients requiring a higher level of care.

Authority: Education Article, §13-509, Annotated Code of Maryland

Effective date: October 17, 2011 (38:21 Md. R. 1280)

Chapter revised effective January 1, 2022 (48:22 Md. R. 938)