Journal article
Implementation of multimodal computed tomography in a telestroke network: Five-year experience
C Garcia-Esperon, F Soderhjelm Dinkelspiel, F Miteff, S Gangadharan, T Wellings, B O´Brien, J Evans, T Lillicrap, J Demeestere, A Bivard, M Parsons, C Levi, NJ Spratt, R Peake, J Hughes, L Dark, N Ryan, M Shepherd, O Ali, J Wills Show all
CNS Neuroscience and Therapeutics | WILEY | Published : 2020
DOI: 10.1111/cns.13224
Open access
Abstract
Aims: Penumbral selection is best-evidence practice for thrombectomy in the 6-24 hour window. Moreover, it helps to identify the best responders to thrombolysis. Multimodal computed tomography (mCT) at the primary centre—including noncontrast CT, CT perfusion, and CT angiography—may enhance reperfusion therapy decision-making. We developed a network with five spoke primary stroke sites and assessed safety, feasibility, and influence of mCT in rural hospitals on decision-making for thrombolysis. Methods: Consecutive patients assessed via telemedicine from April 2013 to June 2018. Clinical outcomes were measured, and decision-making compared using theoretical models for reperfusion therapy app..
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Awarded by National Health and Medical Research Council
Funding Acknowledgements
We thank Ms Kate Jackson, Mr Don Little, Mr Jason Matthews, Dr Claire Sewell and Taree and Gloucester Quota Clubs for their support. Prof Spratt was the recipient of cofunded National Health and Medical Research Council/National Heart Foundation Career Development/Future Leader Fellowship (APPS1110629/100827). Prof Christopher Levi has been the recipient of NHMRC Practitioner Fellowships during the course of this research (APP 1043628 & APP1136064).