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• W4367304089 abstract "<h3>Objective:</h3> We describe a pathway to facilitate and establish sustainable stroke systems of care including creating stroke-certified centers across the Caribbean region. <h3>Background:</h3> 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. <h3>Design/Methods:</h3> 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). <h3>Results:</h3> 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. <h3>Conclusions:</h3> 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. <b>Disclosure:</b> Dr. Then has nothing to disclose. Dr. Gordon-Perue has nothing to disclose. Dr. Gayle has nothing to disclose. Dr. Manosalva Alzate has nothing to disclose. Dr. Gonzalez Villaman has nothing to disclose. Dr. Suazo has nothing to disclose. Dr. De Souza has nothing to disclose. Dr. Hepburn has nothing to disclose. 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 $0-$499 for serving as an officer or member of the Board of Directors for SVIN. The institution of Dr. Ortega Gutierrez has received research support from stryker. The institution of Dr. Ortega Gutierrez has received research support from Siemens. The institution of Dr. Ortega Gutierrez has received research support from IschemiaView. The institution of Dr. Ortega Gutierrez has received research support from Medtronic. Sheila Martins has received personal compensation in the range of $500-$4,999 for serving on a Scientific Advisory or Data Safety Monitoring board for Boehringer Ingelheim. Sheila Martins has received personal compensation in the range of $500-$4,999 for serving on a Speakers Bureau for Boehringer Ingelheim. Sheila Martins has received personal compensation in the range of $500-$4,999 for serving on a Speakers Bureau for Pfizer. Sheila Martins has received personal compensation in the range of $500-$4,999 for serving on a Speakers Bureau for Bayer. Sheila Martins has received personal compensation in the range of $500-$4,999 for serving on a Speakers Bureau for Medtronic. Sheila Martins has received personal compensation in the range of $500-$4,999 for serving on a Speakers Bureau for Penumbra. Sheila Martins has received personal compensation in the range of $500-$4,999 for serving on a Speakers Bureau for Novartis. Sheila Martins has received personal compensation in the range of $500-$4,999 for serving on a Speakers Bureau for Novo Nordisk. 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. Dr. Yavagal has received personal compensation in the range of $0-$499 for serving as a Consultant for Rapid Medical. 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 received personal compensation in the range of $0-$499 for serving on a Scientific Advisory or Data Safety Monitoring board for NeuroSave. 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 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 Inoa has nothing to disclose." @default.
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• W4367304089 date "2023-04-25" @default.
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• W4367304089 title "Establishing a Roadmap for Acute Stroke Care in the Caribbean Region: The Mission Thrombectomy 2020+ Caribbean Experience (P6-9.003)" @default.
• W4367304089 doi "https://doi.org/10.1212/wnl.0000000000202614" @default.
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