Publications by authors named "Francene Gayle"

Article Synopsis
  • A study was conducted to address the disparity in access to mechanical thrombectomy (MT) in low- to middle-income countries by organizing team-based workshops aimed at improving knowledge and skills related to MT for stroke treatment.
  • The workshops, held in Jamaica and the Dominican Republic, included didactic and hands-on training for neurointerventional teams, resulting in significant improvements in test scores and practical skills in managing strokes due to large vessel occlusion.
  • Feedback from participants indicated high satisfaction rates, with a majority believing that the training would positively impact their clinical practice.
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Stroke is the leading cause of death and adult-onset disability in the Caribbean region. Despite the tremendous advances in acute stroke care in the past 25 years, treatment in the Caribbean lags stroke standards of care. Mission Thrombectomy 2020+ (MT2020+) is a metrics based global campaign focused on increasing access to organized stroke care and mechanical thrombectomy.

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Mechanical thrombectomy (MT) is the standard of care for the treatment of acute ischemic stroke due to large vessel occlusion, but the capacity to deliver this treatment can be limited in less populous areas and island territories. Here, we describe the case of a man who developed right MCA syndrome while in Bermuda who was successfully diagnosed, transported over 800 miles to the East Coast of the USA, and treated with MT within 24 h. This case underscores the benefits of having organized systems of care and demonstrates the feasibility of urgent transoceanic patient transportation for stroke requiring MT.

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