Introduction Patients with acute ischemic stroke (AIS) who require endovascular thrombectomy (EVT) will be transferred from Primary-community-Stroke-Center (PSC) to Thrombectomy-capable-Stroke-Center (TSC). The medical records including images at PSC are copied and delivered through the patient, and TSC doctors make decisions after the patient visits, which delays starting EVT.
Aim of Study We report the “Stroke Fast Track’ system, which could bypass the medical data delivery process.
Methods “Stroke Fast Track’ launched in March 2019. It allows medical records, including images taken at PSC, to be transmitted before the patient arrives at TSC. If the Stroke Fast Track is not used, the patient follows the previous transfer methods. TSC’s stroke physicians can check images before a patient arrives, plan a treatment plan, including whether EVT is performed or not.
Results From March 2019 to August 2022, a total of 138 patients (age, 67.4±15.1; male, 58.7%) were transferred. Among them, 31.9% used the Stroke Fast Track. Transportation time took median 52 minutes by ambulance. EVT was performed on 19 patients (13.8%) at the TSC, which took a median duration of 183 min, composed of 85 min at PSC, 48 min for transportation, and 50 min at TSC. The average door-to-puncture time of the patients who used Stroke Fast Track and those who did not were 53 minutes and 100 minutes, respectively.
Conclusion The Stroke Fast Track system, which can transmit medical data directly and non-face-to-face before arriving at the TSC, is feasible and can be utilized to shorten the start of EVT.
Disclosure of Interest Nothing to disclose