Log In

Forgot Password?
Create New Account

Loading... please wait

Abstract Details

Establishing a Roadmap for Acute Stroke Care in the Caribbean Region: The Mission Thrombectomy 2020+ Caribbean Experience
Health Care Disparities
P6 - Poster Session 6 (5:30 PM-6:30 PM)
4-003

Stroke is the leading cause of neurological related disability and death in the Caribbean. Intravenous thrombolysis and mechanical thrombectomy (MT) are scarce to non-existing in our region with only one certified stroke center in a region of approximately 60 million inhabitants.  

We describe a pathway to facilitate and establish sustainable stroke systems of care including creating stroke-certified centers across the Caribbean region. 

 

We connected with regional Stroke experts and created a dyad model of leadership, under the auspices of MT2020+ initiative. The Caribbean Overseeing Committee included eight experienced stroke specialists, who served as an expert panel, coordinated regional solutions based on local public health initiatives and liaised with local country specific physician’s leaders. Committee members interacted regularly with local leadership, established customized collaborations, and built partnerships with specialized local societies, international stroke organizations, Ministries of Health, key stakeholders, and industry. Hands on MT skill workshops were conducted in English and Spanish. The Overseeing Committee facilitated the stroke center certification pathway by the World Stroke Organization (WSO). 

113 physicians from 15 countries participated in the Regional Committees. Train the Trainers workshop in English and Spanish had 85 attendants. The Angels Initiative provided online education; four hospitals became ‘Angels Hospitals’ for the certification pathway. A preferential rate of identification of large vessel occlusion technology (RAPID AI) was obtained for the region, and MT workshops were delivered to 22 neurointerventionalists, 20 nurses and 15 technicians.  WSO collaboration facilitated the certification of the first stroke center in the region, located in the Dominican Republic. 

We report the creation of the first ever WSO stroke center certified in the Caribbean Region with 3 other centers on the pathway of certification. These strategies, along with the commitment of local leadership, accelerated the development of stroke systems of care in our region.

Authors/Disclosures
Ryna Then, MD (TeleSpecialist, LLC)
PRESENTER
Dr. Then has nothing to disclose.
Gillian L. Gordon-Perue, MD, FAAN (University of Miami) Dr. Gordon-Perue has nothing to disclose.
Francene A. Gayle, MD Dr. Gayle has nothing to disclose.
Herbert A. Manosalva Alzate, MD (Medicine Hat Regional Hospital) Dr. Manosalva Alzate has nothing to disclose.
No disclosure on file
No disclosure on file
Romnesh M. De Souza, MD, MBBS (Health City, Cayman Islands) Dr. De Souza has nothing to disclose.
Madihah A. Hepburn, MD (Summa Health) Dr. Hepburn has nothing to disclose.
Santiago Ortega Gutierrez, MD (University of Iowa) Dr. Ortega Gutierrez has received personal compensation in the range of $10,000-$49,999 for serving as a Consultant for stryker. Dr. Ortega Gutierrez has received personal compensation in the range of $10,000-$49,999 for serving as a Consultant for medtronic. Dr. Ortega Gutierrez has received personal compensation in the range of $5,000-$9,999 for serving as a Consultant for microvention. Dr. Ortega Gutierrez has received personal compensation in the range of $500-$4,999 for serving on a Scientific Advisory or Data Safety Monitoring board for Medtronic. The institution of Dr. Ortega Gutierrez has received research support from stryker. The institution of Dr. Ortega Gutierrez has received research support from Medtronic. The institution of Dr. Ortega Gutierrez has received research support from Methinks. The institution of Dr. Ortega Gutierrez has received research support from NIH.
No disclosure on file
Dileep R. Yavagal, MD, FAAN (University of Miami Miller School of Medicine) Dr. Yavagal has received personal compensation in the range of $10,000-$49,999 for serving as a Consultant for Vascular Dynamics. Dr. Yavagal has received personal compensation in the range of $5,000-$9,999 for serving as a Consultant for Guidepoint. The institution of Dr. Yavagal has received personal compensation in the range of $500-$4,999 for serving as a Consultant for GLG. Dr. Yavagal has received personal compensation in the range of $0-$499 for serving as a Consultant for Medtronic. Dr. Yavagal has received personal compensation in the range of $0-$499 for serving as a Consultant for Cerenovus/Johnson & Johnson. Dr. Yavagal has received personal compensation in the range of $0-$499 for serving as a Consultant for Stryker. Dr. Yavagal has received personal compensation in the range of $0-$499 for serving as a Consultant for Poseydon. Dr. Yavagal has received personal compensation in the range of $10,000-$49,999 for serving as a Consultant for Athersys. Dr. Yavagal has received personal compensation in the range of $500-$4,999 for serving as a Consultant for Gravity Medical Technology. Dr. Yavagal has received personal compensation in the range of $0-$499 for serving on a Scientific Advisory or Data Safety Monitoring board for Poseydon. Dr. Yavagal has stock in Poseydon. Dr. Yavagal has stock in Galaxy Therapeutics. Dr. Yavagal has stock in Stentrode. Dr. Yavagal has stock in Gravity Medical. Dr. Yavagal has stock in Gravity Medical Technology. Dr. Yavagal has stock in Athersys. Dr. Yavagal has stock in Rapid Medical . Dr. Yavagal has received intellectual property interests from a discovery or technology relating to health care. Dr. Yavagal has received personal compensation in the range of $5,000-$9,999 for serving as a Medicolegal Expert with Royal Carribean Cruise Line. Dr. Yavagal has received personal compensation in the range of $5,000-$9,999 for serving as a Medicolegal Consultant with Carnival Cruise Line.
Violiza A. Inoa, MD No disclosure on file