VOLNÝ, Ondřej, M. BAR, A. KRAJINA, Petra CIMFLOVÁ, Linda MACHOVÁ, R. HERZIG, D. SANAK, O. SKODA, A. TOMEK, D. SKOLOUDIK, D. VACLAVIK, J. NEUMANN, M. KOCHER, M. ROCEK, R. PADR, F. CIHLAR and Robert MIKULÍK. Systematická evaluace center provádějících mechanické trombektomie u akutního mozkového infarktu v České republice za rok 2016 (A Comprehensive Nationwide Evaluation of Stroke Centres in the Czech Republic Performing Mechanical Thrombectomy in Acute Stroke in 2016). Česká a slovenská neurologie a neurochirurgie. Praha: Nakladatelské a tiskové středisko ČLS JEP, 2017, vol. 80, No 4, p. 445-450. ISSN 1210-7859. Available from: https://dx.doi.org/10.14735/amcsnn2017445.
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Basic information
Original name Systematická evaluace center provádějících mechanické trombektomie u akutního mozkového infarktu v České republice za rok 2016
Name (in English) A Comprehensive Nationwide Evaluation of Stroke Centres in the Czech Republic Performing Mechanical Thrombectomy in Acute Stroke in 2016
Authors VOLNÝ, Ondřej (203 Czech Republic, guarantor, belonging to the institution), M. BAR (203 Czech Republic), A. KRAJINA (203 Czech Republic), Petra CIMFLOVÁ (203 Czech Republic, belonging to the institution), Linda MACHOVÁ (203 Czech Republic), R. HERZIG (203 Czech Republic), D. SANAK (203 Czech Republic), O. SKODA (203 Czech Republic), A. TOMEK (203 Czech Republic), D. SKOLOUDIK (203 Czech Republic), D. VACLAVIK (203 Czech Republic), J. NEUMANN (203 Czech Republic), M. KOCHER (203 Czech Republic), M. ROCEK (203 Czech Republic), R. PADR (203 Czech Republic), F. CIHLAR (203 Czech Republic) and Robert MIKULÍK (203 Czech Republic, belonging to the institution).
Edition Česká a slovenská neurologie a neurochirurgie, Praha, Nakladatelské a tiskové středisko ČLS JEP, 2017, 1210-7859.
Other information
Original language Czech
Type of outcome Article in a journal
Field of Study 30103 Neurosciences
Country of publisher Czech Republic
Confidentiality degree is not subject to a state or trade secret
WWW URL
Impact factor Impact factor: 0.508
RIV identification code RIV/00216224:14110/17:00098398
Organization unit Faculty of Medicine
Doi http://dx.doi.org/10.14735/amcsnn2017445
UT WoS 000406766100013
Keywords in English mechanical thrombectomy; acute stroke; questionnaire; nationwide evaluation
Tags EL OK
Tags International impact, Reviewed
Changed by Changed by: Mgr. Tereza Miškechová, učo 341652. Changed: 13/9/2021 15:03.
Abstract
Úvod: Mechanická trombektomie (MT) je standardní léčba pacientů s akutním mozkovým infarktem. Proto jsme se rozhodli systematicky zhodnotit činnost center provádějících MT v České republice. Metody: Do všech center vysoce specializované péče zajišťujících MT u pacientů s akutním iktem byl rozeslán online dotazník vycházející z mezinárodních doporučení, který monitoroval výkony provedené za rok 2016 (64 otázek zaměřených na zobrazovací metody, logistiku péče a trénink lékařů).
Abstract (in English)
Introduction: Mechanical thrombectomy (MT) has been established as a standard of care in acute ischaemic stroke. We systematically evaluated all stroke centres conducting MT in the Czech Republic. Methods: An online questionnaire based on the International Multi-Society Consensus Document was distributed to all such centres to monitor all the procedures in 2016. It includes 64 questions on imaging, logistic and training standards related to MT. Results: Complete data were obtained from all 15 comprehensive stroke centres. Local operating procedures are used in 14 centres. Specialised stroke units are available in all centres, 24/7 CT is available in all centres and 24/7 MRI in 11 centres. Admission imaging in a time window <6 hours includes: CT/CTA in 11, CT/CTA/CTP in 6, MRI/MRA in 2 centres; after 6 hours from the symptoms: CT/CTA is performed in 7, CT/CTA/CTP in 14, MRI/MRA in 5 centres. Early ischaemic changes are evaluated before neuro-intervention in all centres and collaterals are scored in 8 centres. Interventionalists are available 24/7 in all centres. Door-to-groin time <60 min is monitored in 14 and door-to-reperfusion <90 min in 10 centres. Analgosedation is preferred over general anaesthesia in all centres. Fourteen centres enter data into a registry (SITS-TBY). 1,053 MTs (range: 17-136/centre) were performed in 2016. There are 49 neuro-interventional trainees and 64 interventionalists providing MT in 2016. Conclusion: The Czech Republic has a high availability of expertise to perform MT in acute ischaemic stroke. Nevertheless, there is a high variability among the centers. Thus, the next step should be regular quality monitoring and evaluation of patients' data.
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