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DOI: 10.1055/s-0037-1616363
Management von komplexen neurovaskulären Interventionen mithilfe eines telemedizinischen Netzwerks
Management of complex neurovascular interventions with the aid of a telestroke networkPublikationsverlauf
eingegangen am:
19. November 2015
angenommen am:
25. November 2015
Publikationsdatum:
10. Januar 2018 (online)
Zusammenfassung
Die Forderung nach einem flächendeckenden Zugang zur endovaskulären mechanischen Thrombektomie stellt die telemedizinischen Schlaganfallnetzwerke vor eine neue Herausforderung. NEVAS, das neurovaskuläre Versorgungsnetzwerk für Südwestbayern, ist so strukturiert, dass neben den klassischen Leistungen eines telemedizinischen Schlaganfallnetzwerkes auch moderne Interventionsverfahren besser in die Versorgung verankert werden. NEVAS unterscheidet sich von anderen telemedizinischen Netzwerken durch eine regionale Organisation der Kooperations- und Zentrumskliniken, eine bedarfsorientierte Nutzung der Telemedizin, eine obligate Gefäßdarstellung mittels Schnittbildverfahren im Rahmen der primären Notfalldiagnostik und die Definition sowie Etablierung individueller Verlegungs- und Behandlungsabläufe für jeden Standort. NEVAS kann als Blaupause dienen, wie moderne Schlaganfallversorgung ubiquitär verfügbar gemacht werden kann.
Summary
The demand for an area-covering supply system for endovascular stent thrombectomy is a new challenge in the organisation of telestroke networks. NEVAS, the neurovascular supply network for South-West-Bavaria, offers the classical accomplishments of telestroke networks and makes additionally the state of the art stroke care in the whole supply area available. NEVAS differs from other telestroke networks in its regional organisation of cooperation clinics and center clinics; requirement-based usage of telemedicine resources; obligatory vascular imaging by using split-image procedure in the primary ER diagnostic; definition and establishment of individual standard operational procedures for treatment and transporting at each cooperation clinic. NEVAS can be used as a blueprint for making modern stroke care ubiquitously available.
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