Mechanical Thrombectomy for Acute Ischemic Stroke in Czech Republic: Technical Results from the Year 2016

Kód výsledku v IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F61383082%3A_____%2F18%3A00000421" target="_blank" >RIV/61383082:_____/18:00000421 - isvavai.cz</a>

Nalezeny alternativní kódy

RIV/00216224:14110/18:00105176 RIV/61988987:17110/18:A1901Z99 RIV/00216208:11130/18:10386094 RIV/00216208:11140/18:10386094 a 8 dalších

Výsledek na webu

<a href="https://www.ncbi.nlm.nih.gov/pubmed/30151797" target="_blank" >https://www.ncbi.nlm.nih.gov/pubmed/30151797</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1007/s00270-018-2068-z" target="_blank" >10.1007/s00270-018-2068-z</a>

Jazyk výsledku

angličtina

Název v původním jazyce

Mechanical Thrombectomy for Acute Ischemic Stroke in Czech Republic: Technical Results from the Year 2016

Popis výsledku v původním jazyce

Background and PurposeExperienced multidisciplinary stroke team and well-organized hospital management are considered necessary to achieve good results after mechanical thrombectomy (MT) in acute ischemic stroke patients. We analyzed the technical results of MT performed in the Czech Republic in the year 2016 to provide relevant data for further quality improvement.Material and MethodsAll centers performing MT in the CR were called for detailed technical and clinical data from year 2016, which were anonymously analyzed and relevant technical key time intervals were compared. Clinical outcomes were assessed according to the HERMES meta-analysis.ResultsIn the 2016, 1053 MTs were performed in the CR. Of 15 dedicated centers, the data from 12 centers and from 886 (84%) patients (49.2% males, mean age 69.812.3years) were analyzed. The overall median of time from hospital arrival to groin puncture (GP) was 77min with a range from 40 to 109min among individual hospitals, from GP to first passage of stent retriever 20 (15-40) min and from GP to maximal reached recanalization 42 (33-80) min. The median of recanalization time was 240 (219-320) min. The recanalization (TICI 2b-3) was achieved in 81.7% of patients, 44.1% of patients had a good 3-month clinical outcome and 6.3% suffered from symptomatic intracerebral hemorrhage. Peri-procedural complications were recorded in 89 (10%) patients.Conclusion Despite achieved good overall results, a great variability in some of the analyzed key time intervals among individual centers performing MT warrants further quality improvement.

Název v anglickém jazyce

Mechanical Thrombectomy for Acute Ischemic Stroke in Czech Republic: Technical Results from the Year 2016

Popis výsledku anglicky

Background and PurposeExperienced multidisciplinary stroke team and well-organized hospital management are considered necessary to achieve good results after mechanical thrombectomy (MT) in acute ischemic stroke patients. We analyzed the technical results of MT performed in the Czech Republic in the year 2016 to provide relevant data for further quality improvement.Material and MethodsAll centers performing MT in the CR were called for detailed technical and clinical data from year 2016, which were anonymously analyzed and relevant technical key time intervals were compared. Clinical outcomes were assessed according to the HERMES meta-analysis.ResultsIn the 2016, 1053 MTs were performed in the CR. Of 15 dedicated centers, the data from 12 centers and from 886 (84%) patients (49.2% males, mean age 69.812.3years) were analyzed. The overall median of time from hospital arrival to groin puncture (GP) was 77min with a range from 40 to 109min among individual hospitals, from GP to first passage of stent retriever 20 (15-40) min and from GP to maximal reached recanalization 42 (33-80) min. The median of recanalization time was 240 (219-320) min. The recanalization (TICI 2b-3) was achieved in 81.7% of patients, 44.1% of patients had a good 3-month clinical outcome and 6.3% suffered from symptomatic intracerebral hemorrhage. Peri-procedural complications were recorded in 89 (10%) patients.Conclusion Despite achieved good overall results, a great variability in some of the analyzed key time intervals among individual centers performing MT warrants further quality improvement.

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

—

OECD FORD obor

30201 - Cardiac and Cardiovascular systems

Projekt

—

Návaznosti

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Rok uplatnění

2018

Kód důvěrnosti údajů

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Název periodika

CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY

ISSN

0174-1551

e-ISSN

—

Svazek periodika

41

Číslo periodika v rámci svazku

12

Stát vydavatele periodika

US - Spojené státy americké

Počet stran výsledku

8

Strana od-do

1901-1908

Kód UT WoS článku

000451931100010

EID výsledku v databázi Scopus

2-s2.0-85052623480