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Revista Ecuatoriana de Neurología

versión On-line ISSN 2631-2581versión impresa ISSN 1019-8113


AMAYA, Pablo et al. Drip And Ship: A Prevalent Practice In Acute Stroke With Large Vessel Occlusion In High-Income Countries But Anecdotal In Colombia. Rev Ecuat Neurol [online]. 2021, vol.30, n.3, pp.18-25. ISSN 2631-2581.


The Drip and Ship consists of giving intravenous thrombolysis in the primary center and referral for mechanical thrombectomy


To describe the experience of Drip and Ship in acute ischemic stroke in two regions of Colombia.


We conducted a retrospective case series study of patients undergoing Drip and Ship from 2019 to first quartile of 2021. We compared times: door-to-image, door-to-needle, door-to-groin and clinical outcomes. Measures of central tendency and descriptive statistics were calculated.


Six patients with ischemic stroke and large vessel occlusion were registered. Median of 60 minutes of the onset of symptoms, 75 minutes for door-to-needle, 167.5 minutes for door-in door-out time, and 91.5 minutes for travel time referred from another city. Five patients received mechanical thrombectomy with TICI 2c-3. 50% of patients with favorable modified Rankin scale at discharge and 84% at three months.


According to the RES-Q registry, between 2019 and the first quartile of 2021, there were 5954 cases of ischemic stroke cases in Colombia, and 20 patients received Drip and Ship strategy (0.33%). In agreement to international guidelines, door-to-needle and remission times were longer than recommended, especially in patients from other cities. It is necessary to structure care networks to improve treatment times and the number of patients treated.

Palabras clave : Stroke; drip and ship; thrombolysis; thrombectomy; middle income countries; disparity.

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