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Mayo Clin Proc. 2009;84(1):53-64. doi: 10.1016/S0025-6196(11)60808-2.

Stroke telemedicine.

Author information

  • 1Department of Neurology, Mayo Clinic Hospital, 5777 E Mayo Blvd, Phoenix, AZ 85054, USA. demaerschalk.bart@mayo.edu

Erratum in

  • Mayo Clin Proc. 2010 Apr;85(4):400.

Abstract

Stroke telemedicine is a consultative modality that facilitates care of patients with acute stroke at underserviced hospitals by specialists at stroke centers. The design and implementation of a hub-and-spoke telestroke network are complex. This review describes the technology that makes stroke telemedicine possible, the members that should be included in a telestroke team, the hub-and-spoke characteristics of a telestroke network, and the format of a typical consultation. Common obstacles to the practice of telestroke medicine are explored, such as medicolegal, economic, and market issues. An example of a state-based telestroke network is thoroughly described, and established international telestroke networks are presented and compared. The opportunities for future advances in telestroke practice, research, and education are considered.

PMID:
19121244
[PubMed - indexed for MEDLINE]
PMCID:
PMC2664571
Free PMC Article
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