Mobile Interventional Stroke Teams Improve Outcomes in the Early Time Window for Large Vessel Occlusion Stroke
Author(s) -
Jacob Morey,
Xiangnan Zhang,
Naoum Fares Marayati,
Stavros Matsoukas,
Emily Fiano,
Thomas J. Oxley,
Neha Dangayach,
Laura Stein,
Michael Fara,
Maryna Skliut,
Christopher P. Kellner,
Reade De Leacy,
J Mocco,
Stanley Tuhrim,
Johanna T Fifi
Publication year - 2021
Publication title -
stroke
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.397
H-Index - 319
eISSN - 1524-4628
pISSN - 0039-2499
DOI - 10.1161/strokeaha.121.034222
Subject(s) - medicine , modified rankin scale , stroke (engine) , occlusion , surgery , emergency medicine , physical therapy , ischemic stroke , ischemia , mechanical engineering , engineering
Endovascular thrombectomy for large vessel occlusion stroke is a time-sensitive intervention. The use of a Mobile Interventional Stroke Team (MIST) traveling to Thrombectomy Capable Stroke Centers to perform endovascular thrombectomy has been shown to be significantly faster with improved discharge outcomes, as compared with the drip-and-ship (DS) model. The effect of the MIST model stratified by time of presentation has yet to be studied. We hypothesize that patients who present in the early window (last known well of ≤6 hours) will have better clinical outcomes in the MIST model.
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