Part Six: Health facilities and services

Interventional activities under medical imaging in neuroradiology are practised in two categories: 1° Category A comprising solely the performance of mechanical thrombectomy and associated diagnostic procedures in the context of acute ischaemic cerebrovascular accident; 2° Option B comprising all interventional neuroradiology activities.

Authorisation for interventional activity under medical imaging in neuroradiology, category A, may only be granted if the holder draws up an agreement with a structure authorised to carry out interventional activity under medical imaging in neuroradiology, category B. The agreement provides in particular for the sharing of professional practices and the arrangements for connecting information systems, in particular to enable images to be shared in real time.

Authorisation may only be granted if the holder has a vascular neurology intensive care unit, as referred to in article R. 6123-34-1, on site twenty-four hours a day, seven days a week, and an intensive care unit on site.

Authorisation for interventional activity under medical imaging in neuroradiology, category A, may only be granted if the holder has access to a neurosurgery unit, where applicable by agreement. Authorisation for interventional activity under medical imaging in neuroradiology, category B, may only be granted if the holder has an on-site neurosurgery unit.

Authorisation may only be granted if the holder has access, on site or by agreement, to medical biology tests and labile blood products within a timeframe that is compatible with the safety of treatment.

Authorisation may only be granted if the holder can provide cerebral and vascular exploration by scanner and MRI, on site, twenty-four hours a day, seven days a week. The holder of the medical imaging interventional activity in neuroradiology in option B has an interventional catheterisation platform on site enabling all diagnostic and therapeutic procedures relating to cerebrovascular pathologies to be carried out.

The holder of the authorisation ensures that patients are diagnosed and treated on a permanent basis, in liaison with the emergency medicine structures mentioned in article R. 6123-1, including via telehealth. This round-the-clock service may be shared by several authorised sites. In this case, an agreement is drawn up between the authorisation holders for each site. When the duty of care is provided for several sites, the agreement referred to…

I.- Authorisation to carry out interventional neuroradiology imaging may only be granted, maintained or renewed if the holder of the authorisation complies with a minimum annual activity set by order of the Minister for Health. In the case of a new establishment, the minimum annual activity is forecast for the first year. The annual activity mentioned in this article is established by reference to certain procedures mentioned in article R….