Endovascular therapy for anterior circulation large vessel occlusion in telestroke

Introduction Recent exploratory analysis suggested comparable outcomes among stroke patients undergoing endovascular therapy (EVT) for anterior circulation large vessel occlusion, whether selected via the telestroke network or admitted directly to an EVT-capable centre. We further studied the role o...

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Bibliographic Details
Published in:Journal of telemedicine and telecare 2021-04, Vol.27 (3), p.159-165
Main Authors: Moustafa, Haidar, Barlinn, Kristian, Prakapenia, Alexandra, Winzer, Simon, Gerber, Johannes, Pallesen, Lars-Peder, Siepmann, Timo, Haedrich, Kevin, Wojciechowski, Claudia, Reichmann, Heinz, Linn, Jennifer, Puetz, Volker, Barlinn, Jessica
Format: Article
Language:English
Subjects:
Aged
Brain Ischemia
Endovascular Procedures
Female
Humans
Male
Stroke
Stroke - therapy
Telemedicine
Thrombectomy
Treatment Outcome
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Summary:Introduction Recent exploratory analysis suggested comparable outcomes among stroke patients undergoing endovascular therapy (EVT) for anterior circulation large vessel occlusion, whether selected via the telestroke network or admitted directly to an EVT-capable centre. We further studied the role of telemedicine in selection of ischaemic stroke patients potentially eligible for EVT. Methods We prospectively included consecutive ischaemic stroke patients with anterior circulation large vessel occlusion who underwent EVT at our neurovascular centre (January 2016 to March 2018). We compared safety and efficacy including symptomatic intracerebral haemorrhage (sICH), successful reperfusion (mTICI 2b/3), 90-day favourable outcome (mRS ≤ 2) and 90-day survival between patients transferred from telestroke hospitals and patients directly admitted. Results Of 280 potentially EVT-eligible patients, 72/129 (56%) telestroke and 91/151 (60%) direct admissions eventually underwent EVT (age 76 (66–82) years, median (interquartile range), 46% men, NIHSS score 17 (13–20)). Telestroke patients had larger pre-EVT infarct cores (ASPECTS: 7 (6–8) vs. 8 (7–9); p 
ISSN:1357-633X
1758-1109
DOI:10.1177/1357633X19867193