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Abstract
A 2021 meta-analysis demonstrated significantly better recanalization and clinical outcomes in AIS patients with large vessel occlusion (LVO) receiving tenecteplase compared to alteplase [6]. Since adopting tenecteplase in September 2021, we have reduced our median DNT time by 24 min. Another AI implementation study at a TSC demonstrated significant reductions in door to puncture (DTP) times as well as significantly higher rates of adequate reperfusion for patients post-AI implementation [9]. Since we implemented AI-assisted CT interpretation in our ED, we have achieved DIDO times approaching 60 min and consistently <120 min. For patients suspected of acute stroke, our TLP activates a stroke code and accompanies the patient for a non-contrast head CT within 10 min of arrival.