RT Journal Article
SR Electronic
T1 Telestroke—the promise and the challenge. Part one: growth and current practice
JF Journal of NeuroInterventional Surgery
JO J NeuroIntervent Surg
FD BMJ Publishing Group Ltd.
SP 357
OP 360
DO 10.1136/neurintsurg-2016-012291
VO 9
IS 4
A1 F Akbik
A1 J A Hirsch
A1 R V Chandra
A1 D Frei
A1 A B Patel
A1 J D Rabinov
A1 N Rost
A1 L H Schwamm
A1 T M Leslie-Mazwi
YR 2017
UL http://jnis.bmj.com/content/9/4/357.abstract
AB Acute ischemic stroke remains a major public health concern, with low national treatment rates for the condition, demonstrating a disconnection between the evidence of treatment benefit and delivery of this treatment. Intravenous thrombolysis and endovascular thrombectomy are both strongly evidence supported and exquisitely time sensitive therapies. The mismatch between the distribution and incidence of stroke presentations and the availability of specialist care significantly affects access to care. Telestroke, the use of telemedicine for stroke, aims to surmount this hurdle by distributing stroke expertise more effectively, through video consultation with and examination of patients in locations removed from specialist care. This is the first of a detailed two part review, and explores the growth and current practice of telestroke, including the specific role it plays in the assessment and management of patients after emergent large vessel occlusion.