Telestroke: The promise and the challenge. Part two - Expansion and horizons

F. Akbik, J. A. Hirsch, R. V. Chandra, D. Frei, A. B. Patel, J. D. Rabinov, N. Rost, L. H. Schwamm, T. M. Leslie-Mazwi

Research output: Contribution to journalReview ArticleOtherpeer-review

24 Citations (Scopus)


Acute ischemic stroke remains a major public health concern, with low national treatment rates for the condition, demonstrating a disconnection between the evidence of treatment benefit and delivery of this treatment. Intravenous thrombolysis and endovascular thrombectomy are both strongly evidence supported and exquisitely time sensitive therapies. The mismatch between the distribution and incidence of stroke presentations and the availability of specialist care significantly affects access to care. Telestroke, the use of telemedicine for stroke, aims to surmount this hurdle by distributing stroke expertise more effectively, through video consultation with and examination of patients in locations removed from specialist care. This is the second of a two part review, and is focused on the challenges telestroke faces for wider adoption. It further details the anticipated evolution of this novel therapeutic platform, and the potential roles it holds in stroke prevention, ambulance based care, rehabilitation, and research.

Original languageEnglish
Pages (from-to)361-365
Number of pages5
JournalJournal of NeuroInterventional Surgery
Issue number4
Publication statusPublished - 1 Apr 2017


  • Stroke
  • Thrombectomy
  • Thrombolysis

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