Abstract
Arterial thrombectomy is an established treatment for acute cerebral ischemic stroke and should be started as soon as possible. However, patients who live in rural areas far from a stroke care center require a long time for ambulance transport. They sometimes miss the opportunity for administration of recombinant tissue plasminogen activator (rt-PA). I propose a rendezvoustype drip and ship system for the early administration of rt-PA. While the patient is being transported from the first emergency hospital to a stroke care center, a medical doctor goes to meet the patient en route and brings rt-PA. The doctor can start the administration of rt-PA in the ambulance. This system can contribute to promptly starting treatment for acute phase ischemic stroke and to achieving better outcomes.
