Effectiveness of drip and ship mechanical thrombectomy in a rural stroke network

Takeaway

  • In large vessel occlusion (LVO), treatment with intravenous thrombolysis (IVT), then transfer to a comprehensive stroke center (i.e., drip and ship [DS]) is effective for providing mechanical thrombectomy (MT) in rural areas where admission to comprehensive stroke centers (i.e., direct to center [DTC]) is not available.

Why this matters

  • While most hospitals are capable of IVT initiation, MT is performed in specialized centers that are often not immediately accessible.

  • These patients can be treated through DS or by transferring a neurointerventionalist to the patient (i.e., drip and drive), but there are no clear data on effectiveness of treatment regimens.