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ESOC 2022 | Improving time to thrombectomy with mobile stroke units

Karianne Larsen, MD, University of Oslo, Oslo, Norway, & Norwegian Air Ambulance Foundation, discusses the role of mobile stroke units (MSUs) in optimizing stroke care pathways. MSUs, unlike conventional ambulances, are equipped with diagnostic computed tomographic (CT) scanners, point-of-care laboratory testing, advanced stroke medications, and telemedicine connection to hospitals. These features allow imaging-based triage of patients and prehospital thrombolysis, as well as aiding decision making about the necessary facility to transport the patient to. However, a reduction in time to thrombectomy or an increase in the proportion of patients receiving thrombectomy has not been seen with MSU use. Dr Larsen comments on the likely reasons for this and how in-hospital stroke pathways must be adapted to enable a smooth workflow and improved outcomes. This interview took place at the ESOC 2022 congress in Lyon, France.


Dr Larsen reports the following disclosures:
Intellectual: Treat-NASPP investigator, PRESTO board member.
Financial: none