Use of Telemedicine to Increase Thrombolysis and Advance Care in Acute Ischemic Stroke

被引：18

作者：

Henninger, Nils ^{[1
]}

Chowdhury, Nabi ^{[1
]}

Fisher, Marc ^{[1
]}

Moonis, Majaz ^{[1
,2
]}

机构：

[1] Univ Massachusetts Med Sch, Dept Neurol, Worcester, MA USA

[2] UMass Mem Med Ctr, 55 Lake Ave North, Worcester, MA 01655 USA

来源：

CEREBROVASCULAR DISEASES | 2009年 / 27卷 / SUPPL 4期

关键词：

Thrombolysis; Telemedicine; Acute ischemic stroke;

D O I：

10.1159/000213053

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

The use of the only proven therapy for acute ischemic stroke, intravenous tissue plasminogen activator (tPA), remains disappointingly low. One potential way to increase the use of tPA is by the implementation of telemedicine stroke care networks. Preliminary data from several studies indicate that the safe and expanded use of tPA for ischemic stroke can be accomplished with the help of telemedicine. Telemedicine stroke care networks can also be used in the future to enhance stroke diagnosis with advanced CT and MRI technology and to potentially increase the number of patients referred to tertiary stroke centers for intra-arterial therapies. It is highly likely that telemedicine stroke care will substantially enhance acute stroke therapy for remote and underserved populations.

引用

页码：9 / 14

页数：6

共 51 条

[1] Magnetic resonance imaging profiles predict clinical response to early reperfusion: The diffusion and perfusion imaging evaluation for understanding stroke evolution (DEFUSE) study [J].

Albers, Gregory W. ;

Thijs, Vincent N. ;

Wechsle, Lawrence ;

Kemp, Stephanie ;

Schlaug, Gottfried ;

Skalabrin, Elaine ;

Bammer, Roland ;

Kakuda, Wataru ;

Lansberg, Maarten G. ;

Shuaib, Ashfaq ;

Coplin, William ;

Hamilton, Scott ;

Moseley, Michael ;

Marks, Michael P. .

ANNALS OF NEUROLOGY, 2006, 60 (05) :508-517

[2] Recommendations for the establishment of primary stroke centers [J].

Alberts, MJ ;

Hademenos, G ;

Latchaw, RE ;

Jagoda, A ;

Marler, JR ;

Mayberg, MR ;

Starke, RD ;

Todd, HW ;

Viste, KM ;

Girgus, M ;

Shephard, T ;

Emr, M ;

Shwayder, P ;

Walker, MD .

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2000, 283 (23) :3102-3109

[3]

[Anonymous], 2008, HEART DIS STROKE STA, P43

[4] Acute stroke care in the US - Results from 4 pilot prototypes of the Paul Coverdell National Acute Stroke Registry [J].

Arora, S ;

Broderick, JP ;

Frankel, M ;

Heinrich, JP ;

Hickenbottom, S ;

Karp, H ;

LaBresh, KA ;

Malarcher, A ;

Mensah, G ;

Moomaw, CJ ;

Reeves, MJ ;

Schwamm, L ;

Weiss, P .

STROKE, 2005, 36 (06) :1232-1240

[5] Telestroke: effective networking [J].

Audebert, H .

LANCET NEUROLOGY, 2006, 5 (03) :279-282

[6] Effects of the implementation of a telemedical stroke network: the Telemedic Pilot Project for Integrative Stroke Care (TEMPiS) in Bavaria, Germany [J].

Audebert, Heinrich J. ;

Schenkel, Johannes ;

Heuschmann, Peter U. ;

Bogdahn, Ulrich ;

Haberl, Roman L. .

LANCET NEUROLOGY, 2006, 5 (09) :742-748

[7] Comparison of tissue plasminogen activator administration management between telestroke network hospitals and academic stroke centers -: The Telemedical Pilot Project for Integrative Stroke Care in Bavaria/Germany [J].

Audebert, Heinrich J. ;

Kukla, Christian ;

Vatankhah, Bijan ;

Gotzler, Berthold ;

Schenkel, Johannes ;

Hofer, Stephan ;

Fuerst, Andrea ;

Haberl, Roman L. .

STROKE, 2006, 37 (07) :1822-1827

[8] Can telemedicine contribute to fulfill WHO Helsingborg Declaration of specialized stroke care? The Telemedic Pilot Project for Integrative Stroke Care (TEMPiS) in Bavaria [J].

Audebert, HJ ;

Wimmer, MLJ ;

Hahn, R ;

Schenkel, J ;

Bogdahn, U ;

Horn, M ;

Haberl, RL .

CEREBROVASCULAR DISEASES, 2005, 20 (05) :362-369

[9] Telemedicine for safe and extended use of thrombolysis in stroke -: The Telemedic Pilot Project for Integrative Stroke Care (TEMPiS) in Bavaria [J].

Audebert, HJ ;

Kukla, C ;

von Claranau, SC ;

Kühn, J ;

Vatankhah, B ;

Schenkel, J ;

Ickenstein, GW ;

Haberl, RL ;

Horn, M .

STROKE, 2005, 36 (02) :287-291

[10] Enlargement of human cerebral ischemic lesion volumes measured by diffusion-weighted magnetic resonance imaging [J].

Baird, AE ;

Benfield, A ;

Schlaug, G ;

Siewert, B ;

Lovblad, KO ;

Edelman, RR ;

Warach, S .

ANNALS OF NEUROLOGY, 1997, 41 (05) :581-589

← 1 2 3 4 5 6 →