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Updated: May 27, 2026

Prehospital Thrombolysis: A Manual from Berlin
Published on: November 26, 2013
[Telemedicine and fibrinolysis in Franche-Comté]
R Allibert1, F Ziegler, M Bataillard
1Service de neurologie 2 neurovasculaire et urgences neurologiques, CHU de Besançon, 3 boulevard Alexandre-Fleming, Besançon cedex, France. rallibert@hotmail.fr
Introduction:
The aim of our study was to compare the efficacy and safety of intravenous thrombolysis of cerebral ischemia as it has been established in a distant hospital (DH) through telemedicine tools or in neurovascular unit of the University Hospital of Besançon.
Method:
Our work was conducted retrospectively at the University Hospital of Besançon from 1 January 2003 to December 31, 2009.
Results:
Fibrinolysis was introduced at the university hospital in 98/161 patients (61%) and a DH in remote 63/161 patients (39%). A favorable neurological outcome (Rankin 0/1) was observed in 27/98 patients (27.5%) treated at University Hospital and in 25/63 (39.5%) patients in a DH. There was no significant difference between the two subgroups. Symptomatic hemorrhagic transformation occurred in 5/98 (5%) patients treated at University Hospital and in 1/63 (1.5%) patients treated in DH. There was no significant difference between the two subgroups.
Conclusion:
Our study shows that fibrinolysis remotely using the tools of telemedicine has, from 2003 to 2009, in Franche-Comté deal effectively and without risk of a significant proportion of patients.
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