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Using Telemedicine to Triage Patients for Intraarterial Treatment of Acute Ischemic Stroke

Posted on: May 27th, 2015 by Andrew Saluke

Recorded webinar from May 27, 2015

Clinical trials, including the MR CLEAN and ESCAPE studies, have confirmed the efficacy of interventional therapies as adjunct to intravenous tPA for acute ischemic stroke (AIS) caused by an occlusion of a major intracranial artery. Only twenty-​six percent of webinar attendees were unfamiliar with the endovascular treatment studies discussed prior to joining the broadcast.

Only twenty-six percent of webinar attendees were unfamiliar with the endovascular treatment studies discussed prior to joining the broadcast.

Though promising, these treatments are expected to be limited to Comprehensive Stroke Centers (CSC) with the proper infrastructure and interventional expertise. Patients in remote locations will still need to be assessed in a timely manner to determine the optimal treatment plan and make a critical decision: whether tPA is appropriate; and if so, whether to utilize intravenous tPA and remain in the local hospital or begin with intravenous tPA in the local hospital and transfer to the CSC for possible interventional treatment. As the continuum of stroke treatment options expands, telestroke can be used to address a wider array of requirements, with the ultimate goal of rapidly identifying a patient’s best available treatment option(s) in the most appropriate facility.

Over half of the attendees of the live broadcast work at hospitals that currently offer Intraarterial Clot Retrieval:

Does your hospital currently offer Intraarterial Clot Retrieval for treatment of Acute Ischemic Stroke?

The expert panelists provide thoughtful insight and an engaging discussion, exploring:

  • How to identify candidates for intervention and move them swiftly through the triage process
  • Using tPA as a precursor to intraarterial intervention
  • Preparing local ED staff and remote neurologists for effective triage
  • Telestroke system requirements that support effective triage


Who Should Watch:

  • Hospital and health system heads of neurology
  • Neurologists, neurosurgeons and interventionalists
  • ED physicians and nurses
  • Telemedicine and telestroke program directors, managers and coordinators
  • Hospital and health system strategy officers and executives

The Panelists:

  • Dr. David Hess (moderator), Chairman, Department of Neurology, Georgia Regents Medical Center
  • Dr. Christine Holmstedt, Medical Director of Stroke Clinical Services, MUSC
  • Dr. Michael Mullen, Vascular Neurologist, Perelman School of Medicine, University of Pennsylvania
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