Flying Intervention Team for Endovascular Treatment of Acute Ischemic Stroke in Rural Areas
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Brain Infarction
- Sponsor
- Munich Municipal Hospital
- Enrollment
- 477
- Locations
- 1
- Primary Endpoint
- Time from decision for endovascular treatment to groin puncture
- Last Updated
- 6 years ago
Overview
Brief Summary
The aim of this study is to compare time delay and safety parameters of stroke patients initially admitted to a rural primary stroke center (PSC) who receive endovascular treatment (EVT) by a Flying Intervention Team with patients who receive EVT after secondary transfer to a comprehensive stroke center (CSC).
Detailed Description
A novel health care concept was implemented in the telemedical stroke network TEMPiS (Telemedical Project for integrative Stroke Care) to reduce time delays to EVT in stroke patients with large vessel occlusion: After telemedicine-assisted identification of EVT candidates in a PSC, a Flying Intervention Team (neuroradiologist and angiography assistant) is flown from a CSC via helicopter to the PSC to perform EVT in the local angiography suite. Flying Intervention Team service runs from 8 a.m. to 10 p.m. Patients remain at local stroke unit for further treatment. Analysis will include time delay to EVT, recanalization, symptomatic intracerebral hemorrhage, periprocedural complications, in-hospital complications, and mortality.
Investigators
Eligibility Criteria
Inclusion Criteria
- Not provided
Exclusion Criteria
- Not provided
Outcomes
Primary Outcomes
Time from decision for endovascular treatment to groin puncture
Time Frame: day 1
Time from telemedicine-assisted decision for endovascular treatment to initiation of endovascular treatment by groin puncture
Secondary Outcomes
- Periprocedural complications(day 1)
- Symptomatic intracerebral hemorrhage(7 days)
- In-hospital death or palliative care(7 days)
- In-hospital complications(7 days)
- Time from symptom onset to recanalization(day 1)
- Other procedural times of hyperacute care(day 1)
- Recanalization(day 1)