Skip to main content

Teleneurology and Neurointerventional Therapy for Acute Stroke

  • Chapter
  • First Online:
Teleneurology in Practice

Abstract

Teleneurology has expanded the availability of acute stroke treatment, particularly thrombolysis, as well as increased the availability of neurointerventional therapies to patients beyond large medical centers (El Khoury, Neurology 79(13 Suppl 1):S26–34, 2012). By promoting the appropriate triage of acute stroke patients, teleneurology helps facilitate the appropriate transfer of patients to appropriate centers to receive intra-arterial therapy for a variety of disorders, including acute ischemic stroke and subarachnoid hemorrhage. The objective of this chapter is to outline the workings of one large telestroke network, illustrating how teleneurology helps triage patients requiring neurointerventional therapy and facilitates the transfer of such patients for definitive treatment. The role of teleneurology in research and development of neurointerventional therapy is also discussed.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 79.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 99.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Switzer JA, Demaerschalk BM. Overcoming challenges to sustain a telestroke network. J Stroke Cerebrovasc Dis (Research Support, Non-U.S. Gov’t Review Video-Audio Media). 2012;21(7):535–40.

    Google Scholar 

  2. Meyer BC, Demaerschalk BM. Telestroke network fundamentals. J Stroke Cerebrovasc Dis (Research Support, Non-U.S. Gov’t Review Video-Audio Media). 2012;21(7):521–9.

    Google Scholar 

  3. Schwamm LH, Holloway RG, Amarenco P, Audebert HJ, Bakas T, Chumbler NR, et al. A review of the evidence for the use of telemedicine within stroke systems of care: a scientific statement from the American Heart Association/American Stroke Association. Stroke (Practice Guideline Review). 2009;40(7):2616–34.

    Google Scholar 

  4. Schwamm LH, Audebert HJ, Amarenco P, Chumbler NR, Frankel MR, George MG, et al. Recommendations for the implementation of telemedicine within stroke systems of care: a policy statement from the American Heart Association. Stroke (Practice Guideline). 2009;40(7):2635–60.

    Google Scholar 

  5. Meyers PM, Schumacher HC, Connolly ES Jr, Heyer EJ, Gray WA, Higashida RT. Current status of endovascular stroke treatment. Circulation (Review). 2011;123(22):2591–601.

    Google Scholar 

  6. El Khoury R, Jung R, Nanda A, Sila C, Abraham MG, Castonguay AC, et al. Overview of key factors in improving access to acute stroke care. Neurology (Review). 2012;79(13 Suppl 1):S26–34.

    Google Scholar 

  7. Henninger N, Chowdhury N, Fisher M, Moonis M. Use of telemedicine to increase thrombolysis and advance care in acute ischemic stroke. Cerebrovasc Dis (Review). 2009;27 Suppl 4:9–14.

    Google Scholar 

  8. Demaerschalk BM, Raman R, Ernstrom K, Meyer BC. Efficacy of telemedicine for stroke: pooled analysis of the Stroke Team Remote Evaluation Using a Digital Observation Camera (STRokE DOC) and STRokE DOC Arizona telestroke trials. Telemed J E Health (Comparative Study Randomized Controlled Trial Research Support, N.I.H., Extramural Research Support, Non-U.S. Gov’t). 2012;18(3):230–7.

    Google Scholar 

  9. Meyer BC, Raman R, Hemmen T, Obler R, Zivin JA, Rao R, et al. Efficacy of site-independent telemedicine in the STRokE DOC trial: a randomised, blinded, prospective study. Lancet Neurol (Randomized Controlled Trial Research Support, N.I.H., Extramural Research Support, Non-U.S. Gov’t Research Support, U.S. Gov’t, Non-P.H.S.). 2008;7(9):787–95.

    Google Scholar 

  10. Mazighi M, Derex L, Amarenco P. Prehospital stroke care: potential, pitfalls, and future. Curr Opin Neurol (Review). 2010;23(1):31–5.

    Google Scholar 

  11. Demaerschalk BM, Switzer JA, Xie J, Fan L, Villa KF, Wu EQ. Cost utility of hub-and-spoke telestroke networks from societal perspective. Am J Manage Care (Research Support, Non-U.S. Gov’t). 2013;19(12):976–85.

    Google Scholar 

  12. Switzer JA, Demaerschalk BM, Xie J, Fan L, Villa KF, Wu EQ. Cost-effectiveness of hub-and-spoke telestroke networks for the management of acute ischemic stroke from the hospitals’ perspectives. Circ Cardiovasc Qual Outcomes (Comparative Study Research Support, Non-U.S. Gov’t). 2013;6(1):18–26.

    Google Scholar 

  13. Muller-Barna P, Schwamm LH, Haberl RL. Telestroke increases use of acute stroke therapy. Curr Opin Neurol (Review). 2012;25(1):5–10.

    Google Scholar 

  14. Audebert HJ, Schwamm L. Telestroke: scientific results. Cerebrovasc Dis (Review). 2009;27 Suppl 4:15–20.

    Google Scholar 

  15. Tatlisumak T, Soinila S, Kaste M. Telestroke networking offers multiple benefits beyond thrombolysis. Cerebrovasc Dis (Review). 2009;27 Suppl 4:21–7.

    Google Scholar 

  16. Pedragosa A, Alvarez-Sabin J, Rubiera M, Rodriguez-Luna D, Maisterra O, Molina C, et al. Impact of telemedicine on acute management of stroke patients undergoing endovascular procedures. Cerebrovasc Dis (Research Support, Non-U.S. Gov’t). 2012;34(5–6):436–42.

    Google Scholar 

  17. Silva GS, Farrell S, Shandra E, Viswanathan A, Schwamm LH. The status of telestroke in the United States: a survey of currently active stroke telemedicine programs. Stroke (Research Support, U.S. Gov’t, P.H.S.). 2012;43(8):2078–85.

    Google Scholar 

  18. Switzer JA, Levine SR, Hess DC. Telestroke 10 years later—‘telestroke 2.0’. Cerebrovasc Dis (Review). 2009;28(4):323–30.

    Google Scholar 

  19. de Bustos EM, Vuillier F, Chavot D, Moulin T. Telemedicine in stroke: organizing a network–rationale and baseline principles. Cerebrovasc Dis (Review). 2009;27 Suppl 4:1–8.

    Google Scholar 

  20. Fanale CV, Demaerschalk BM. Telestroke network business model strategies. J Stroke Cerebrovasc Dis (Research Support, Non-U.S. Gov’t Review Video-Audio Media). 2012;21(7):530–4.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Nobl Barazangi MD, PhD .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2015 Springer Science+Business Media New York

About this chapter

Cite this chapter

Barazangi, N., English, J., Tong, D. (2015). Teleneurology and Neurointerventional Therapy for Acute Stroke. In: Tsao, J., Demaerschalk, B. (eds) Teleneurology in Practice. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-2349-6_7

Download citation

  • DOI: https://doi.org/10.1007/978-1-4939-2349-6_7

  • Published:

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4939-2348-9

  • Online ISBN: 978-1-4939-2349-6

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics