From proximal to distal occlusion

3 october 2016 – 9:00

Department of Interventional Neuroradiology University Hospital Vall d’Hebron, Barcelona, Spain

Team led by Marc RIBO

The region of Catalonia has a population of around 10 million with roughly half living in the Barcelona area. Five comprehensive stroke centers (CSC) – 4 in the RACECAT study – are found in Barcelona with the rest of the region served by primary stroke centers or telemedicine. How to provide the best possible stroke care? Join M. Ribo as he illustrates several complete cases from the initial assessment through to the decision-making process that determines whether a patient is immediately treated at one of the primary stroke centers before transfer to a CSC, or direct transport to the CSC through to the final treatment strategy.

What were the conditions that led to each individual decision? First, in for an 83-year-old patient with a severe wake-up stroke (RACE score 9, NIHSS=24), 100 km from the CSC, then for a 60-year-old stroke patient 50 km from the CSC, (RACE Score 5). Learn why 80% of the region’s paramedics have been trained to know the RACE Score and use it. Consider different treatment concerns, such as the challenge of quickly providing, if appropriate, iv tPA and follow each case to their successful conclusion.

How would you treat? Join our panel and audience as they debate the issues, here…