Journal article

Air vs. Road Decision for Endovascular Clot Retrieval in a Rural Telestroke Network

Shyam Gangadharan, Thomas Lillicrap, Ferdinand Miteff, Pablo Garcia-Bermejo, Thomas Wellings, Billy O'Brien, James Evans, Khaled Alanati, Christopher Levi, Mark W Parsons, Andrew Bivard, Carlos Garcia-Esperon, Neil J Spratt

Frontiers in Neurology | FRONTIERS MEDIA SA | Published : 2020

Abstract

Background and Purpose: Telestroke aims to increase access to endovascular clot retrieval (ECR) for rural areas. There is limited information on transfer workflow for ECR in rural settings. We sought to describe the transfer metrics for ECR in a rural telestroke network with respect to decision making. Methods: A retrospective cohort study was employed on consecutive patients transferred to the comprehensive stroke center (CSC) for ECR in a rural hub-and-spoke telestroke network between April 2013 and October 2019, by road or air. Key time-based metrics were analyzed. Results: Sixty-two patients were included. Mean age was 66 years [standard deviation (SD), 14] and median National Institutes..

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