Direct to Angiosuite in Acute Stroke with Mobile Stroke Unit

• DOI: 10.1017/cjn.2023.36
• Publication Date: 2023-03-29T09:49:41Z
• Authors: Radhika Nair; Jeremy Rempel; Khurshid Khan; Thomas Jeerakathil; Rene Van Dijk; Brian H. Buck; Mahesh P. Kate; Sibi Thirunavukka...; Kimberly Gilbertson; Sathvika Thermali...; Ashfaq Shuaib
• Keywords: Interquartile range; Stroke; Acute stroke

ABSTRACT: Background: Early reperfusion has the best likelihood for a favorable outcome in acute ischemic stroke (AIS) with large vessel occlusion (LVO). Our experience mobile unit (MSU) direct to angiosuite (DTAS) transfer AIS patients suspected LVO is presented. Methods: Retrospective review of prospectively collected data from November 2019 August 2022, evaluated and transferred by University Alberta Hospital MSU moved endovascular thrombectomy (EVT). Result: A total 41 cases were included. Nine chosen DTAS 32 shifted after stopping computed tomography (CT) angiography head neck (no-DTAS). Stroke severity measured NIHSS (median interquartile range (IQR)) was higher DTAS, 22 (14–24) vs 14.5 (5–25) no-DTAS ( p = 0.001). The non-contrast CT showed hyperdense vessels 8 (88.88%) 11 (34.35%) 0.003). EVT timelines IQR, 90 th percentile) including “door artery puncture time” 31 (23–50, 49.2) 79 (39–264, 112.8) minutes, recanalization 69 (49–110, 93.2) 105.5 (52–178, 159.5) minutes group, respectively. workflow times significantly shorter group < Eight out 9 had underwent thrombectomy. Conclusions: high scores, cortical signs, showing an effective strategy reduce time.