1naresh2naresh
Array
(
    [urn:ac.highwire.org:guest:identity] => Array
        (
            [runtime-id] => urn:ac.highwire.org:guest:identity
            [type] => guest
            [service-id] => ajnr-ac.highwire.org
            [access-type] => Controlled
            [privilege] => Array
                (
                    [urn:ac.highwire.org:guest:privilege] => Array
                        (
                            [runtime-id] => urn:ac.highwire.org:guest:privilege
                            [type] => privilege-set
                            [privilege-set] => GUEST
                        )

                )

            [credentials] => Array
                (
                    [method] => guest
                )

        )

    [c06d722a-c38e-405e-8af6-b7c89243e2ae] => Array
        (
            [runtime-id] => c06d722a-c38e-405e-8af6-b7c89243e2ae
            [type] => toll-free-key
            [service-id] => ajnr-ac.highwire.org
            [access-type] => Controlled
            [privilege] => Array
                (
                    [55984dc0-97b0-4ffb-87ea-76e83d3ec8a6] => Array
                        (
                            [runtime-id] => 55984dc0-97b0-4ffb-87ea-76e83d3ec8a6
                            [type] => toll-free-key
                        )

                )

            [credentials] => Array
                (
                    [method] => toll-free-key
                    [value] => tf_ipsecsha;c19286c5868f83842ffa3aa0f0a26fc64ed6dc00
                )

        )

)
1naresh2naresh
Array
(
    [urn:ac.highwire.org:guest:identity] => Array
        (
            [runtime-id] => urn:ac.highwire.org:guest:identity
            [type] => guest
            [service-id] => ajnr-ac.highwire.org
            [access-type] => FreeToRead
            [privilege] => Array
                (
                    [urn:ac.highwire.org:guest:privilege] => Array
                        (
                            [runtime-id] => urn:ac.highwire.org:guest:privilege
                            [type] => privilege-set
                            [privilege-set] => GUEST
                        )

                )

            [credentials] => Array
                (
                    [method] => guest
                )

        )

    [8f7aa5c2-db81-45d4-b2e2-75ccf4e8377a] => Array
        (
            [runtime-id] => 8f7aa5c2-db81-45d4-b2e2-75ccf4e8377a
            [type] => toll-free-key
            [service-id] => ajnr-ac.highwire.org
            [access-type] => FreeToRead
            [privilege] => Array
                (
                    [76372acd-d0a2-4a56-9a61-67dcee11649f] => Array
                        (
                            [runtime-id] => 76372acd-d0a2-4a56-9a61-67dcee11649f
                            [type] => toll-free-key
                        )

                )

            [credentials] => Array
                (
                    [method] => toll-free-key
                    [value] => tf_ipsecsha;c19286c5868f83842ffa3aa0f0a26fc64ed6dc00
                )

        )

)
RT Journal Article
SR Electronic
T1 Perspectives on Remote Robotic-Assisted Stroke Treatment: A Commentary Paper
JF American Journal of Neuroradiology
JO Am. J. Neuroradiol.
FD American Society of Neuroradiology
SP 681
OP 685
DO 10.3174/ajnr.A8085
VO 45
IS 6
A1 Consoli, Arturo
A1 Cancelliere, Nicole Mariantonia
A1 Charbonnier, Guillaume
A1 Spears, Julian
A1 Marotta, Thomas R.
A1 Pereira, Vitor Mendes
YR 2024
UL http://www.ajnr.org/content/45/6/681.abstract
AB SUMMARY: The proved feasibility of robotic-assisted endovascular treatment of intracranial aneurysms has stimulated the idea of a potential application of remote robotics for the treatment of acute ischemic stroke. The possibility of developing a more advanced remote-controlled robotic system capable of performing a complete mechanical thrombectomy procedure would help bridge the health care gap of lack of technical expertise in isolated areas. This possibility could allow a more equitable access to mechanical thrombectomy to a larger number of patients and be a breakthrough for acute ischemic stroke care worldwide. Many aspects around the technical, human, financial, and regulatory requirements should be discussed to implement remote robotic-assisted procedures. In this State of Practice article, we aimed to outline the major challenges that must be considered, as well as proposed solutions. However, different solutions may be applied in different health care systems on the basis of the availability of human and financial resources.AISacute ischemic strokeGAgeneral anesthesiaMTmechanical thrombectomyRRAPremote robotic-assisted procedure