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

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

2. B. Interventional services that include:

   1. (1) Intra-arterial reperfusion therapy; and
   2. (2) Stenting/angioplasty of intracranial vessels;
3. 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;
4. D. An on-call schedule for a primary and a back-up neurointerventionalist; and
5. 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.

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

Effective date: January 1, 2022 (48:22 Md. R. 939)