Safety and Effectiveness of Drip, Ship, and Retrieve Paradigm for Acute Ischemic Stroke: a Single Center Experience

This study analyzed the efficacy and safety of the “drip, ship, and retrieve (DSR)” approach used to improve patient access to thrombectomy for acute stroke. Methods: The study participants were 45 patients who underwent thrombectomy following intravenous tissue plasminogen activator between Septemb...

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Veröffentlicht in:Neurologia medico-chirurgica 2016, Vol.56(12), pp.731-736
Hauptverfasser: HIYAMA, Nagayasu, YOSHIMURA, Shinichi, SHIRAKAWA, Manabu, UCHIDA, Kazutaka, OKI, Yoshiharu, SHINDO, Seigo, TOKUDA, Kou
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Sprache:eng
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Zusammenfassung:This study analyzed the efficacy and safety of the “drip, ship, and retrieve (DSR)” approach used to improve patient access to thrombectomy for acute stroke. Methods: The study participants were 45 patients who underwent thrombectomy following intravenous tissue plasminogen activator between September 2013 and August 2015. Patients were divided into two groups according to whether they were transferred from another hospital (DSR group; n = 33) or were brought in directly (Direct group; n = 12). The two groups were compared based on their baseline characteristics, time from stroke onset to reperfusion, outcome, and adverse events. Results: There were no significant differences in baseline characteristics. Time from onset until admission to our facility was significantly shorter in the Direct group (56.9 min) than in the DSR group (163.5 min) (P
ISSN:0470-8105
1349-8029
DOI:10.2176/nmc.oa.2016-0102