Reperfusion therapy of acute ischemic stroke in an all-in-one resuscitation room called a hybrid emergency room

Masahiro Kashiura; Shunsuke Amagasa; Hiroyuki Tamura; Hidenori Sanayama; Motoshige Yamashina; Masashi Ikota; Yoshio Sakiyama; Yoshikazu Yoshino; Takashi Moriya

doi:10.1093/omcr/omz042

Reperfusion therapy of acute ischemic stroke in an all-in-one resuscitation room called a hybrid emergency room

Oxf Med Case Reports. 2019 Jun 8;2019(6):omz042. doi: 10.1093/omcr/omz042. eCollection 2019 Jun.

Authors

Affiliations

¹ Department of Emergency and Critical Care Medicine, Saitama Medical Center, Jichi Medical University, Saitama, Japan.
² Department of Neurology, Saitama Medical Center, Jichi Medical University, Saitama, Japan.
³ Department of Neurosurgery, Saitama Medical Center, Jichi Medical University, Saitama, Japan.
⁴ Department of Endovascular Surgery, Saitama Medical Center, Jichi Medical University, Saitama, Japan.

Abstract

Acute ischemic stroke (AIS) caused by major vessel occlusion has potentially poor outcomes. Early successful recanalization after symptom onset is an important factor for favorable outcomes of AIS. We present the case of a 74-year-old man with AIS who underwent the entire process from diagnosis to thrombolysis and endovascular treatment in a hybrid emergency room (ER) equipped with a multidetector computed tomography (CT) scanner and an angiography suite set-up. A hybrid ER can facilitate evaluation and definitive interventions in patients with AIS more quickly and safely and in one place, without the requirement for transfer to a CT scanner or angiography suite set-up. In the present case, the door-to-puncture time and door-to-reperfusion time were 85 and 159 min, respectively, which were shorter than those in the group conventionally treated for stroke in our institution. Further study is needed to confirm the effect of the hybrid ER system.

Publication types

Case Reports