Mobile Interventional Stroke Teams Lead to Faster Treatment Times for Thrombectomy in Large Vessel Occlusion

• DOI: 10.1161/strokeaha.117.018149
• Publication Date: 2017-11-16T10:05:14Z
• Authors: Daniel Wei; Thomas J. Oxley; Dominic A. Nistal; Justin R. Mascitelli; Natalie Wilson; Laura Stein; John Liang; Lena M. Turkheimer; Jacob R. Morey; Claire Schwegel; Ahmed J. Awad; Hazem Shoirah; Christopher P. Ke...; Reade A. De Leacy; Stephan A. Mayer; Stanley Tuhrim; Srinivasan Parama...; J Mocco; Johanna T. Fifi
• Keywords: Stroke; Lead (geology)

Endovascular recanalization treatment for acute ischemic stroke is a complex, time-sensitive intervention. Trip-and-treat an interhospital service delivery model that has not previously been evaluated in the literature and consists of shared mobile interventional team travels to primary centers provide on-site capability. We compared times between trip-and-treat traditional drip-and-ship model.We performed retrospective analysis on 86 consecutive eligible patients with secondary large vessel occlusion who received endovascular at 4 hospitals Manhattan. Patients were divided into 2 cohorts: (n=39) (n=47). The outcome was initial door-to-puncture time, defined as time arrival any hospital arterial puncture. also recorded analyzed last known well, IV-tPA (intravenous tissue-type plasminogen activator) administration, transfer, reperfusion.Mean 143 minutes 222 (P<0.0001). Although there trend longer puncture-to-recanalization (P=0.0887), door-to-recanalization nonetheless 79 faster There improved admission-to-discharge change National Institutes Health Stroke Scale (P=0.0704).Compared drip-and-ship, demonstrated shorter therapy our series. offers valid alternative current transfers urban environments.