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- Bart M Demaerschalk, Madeline L Miley, Terri-Ellen J Kiernan, Bentley J Bobrow, Doren A Corday, Kay E Wellik, Maria I Aguilar, Timothy J Ingall, David W Dodick, Karina Brazdys, Tiffany C Koch, Michael P Ward, Phillip C Richemont, and STARR Coinvestigators.
- Department of Neurology, Mayo Clinic Hospital, 5777 E Mayo Blvd, Phoenix, AZ 85054, USA. demaerschalk.bart@mayo.edu
- Mayo Clin. Proc. 2009 Jan 1; 84 (1): 536453-64.
AbstractStroke 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.
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