Stroke telemedicine

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

Research output: Contribution to journalReview articlepeer-review

126 Scopus citations


Stroke 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.

Original languageEnglish (US)
Pages (from-to)53-64
Number of pages12
JournalMayo Clinic proceedings
Issue number1
StatePublished - Jan 2009

ASJC Scopus subject areas

  • General Medicine


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