Mobile Interventional Stroke Team Model Improves Early Outcomes in Large Vessel Occlusion Stroke: The NYC MIST Trial.
Jacob R Morey, Thomas J Oxley, Daniel Wei, Christopher P Kellner, Neha S Dangayach, Laura Stein, Danny Hom, Danielle Wheelwright, Liorah Rubenstein, Maryna Skliut, Hazem Shoirah, Reade A De Leacy, I Paul Singh, Xiangnan Zhang, Steven Persaud, Stanley Tuhrim, Mandip Dhamoon, Joshua Bederson, J Mocco, Johanna T Fifi Show all
Stroke | Published : 2020
BACKGROUND AND PURPOSE: Triage of patients with emergent large vessel occlusion stroke to primary stroke centers followed by transfer to comprehensive stroke centers leads to increased time to endovascular therapy. A Mobile Interventional Stroke Team (MIST) provides an alternative model by transferring a MIST to a Thrombectomy Capable Stroke Center (TSC) to perform endovascular therapy. Our aim is to determine whether the MIST model is more time-efficient and leads to improved clinical outcomes compared with standard drip-and-ship (DS) and mothership models. METHODS: This is a prospective observational cohort study with 3-month follow-up between June 2016 and December 2018 at a multicenter h..View full abstract