| KÖCHER, Martin, Daniel ŠAŇÁK, Jana ZAPLETALOVÁ, Filip CIHLÁŘ, Daniel CZERNÝ, David ČERNÍK, Petr DURAS, Ladislav ENDRYCH, Roman HERZIG, Jiří LACMAN, Miroslav LOJÍK, Svatopluk OSTRÝ, Radek PÁDR, Vladimír ROHAN, Miroslav ŠKORŇA, Martin ŠRÁMEK, Luděk ŠTĚRBA, Daniel VÁCLAVIK, Jiří VANÍČEK, Ondřej VOLNÝ and Aleš TOMEK. Mechanical Thrombectomy for Acute Ischemic Stroke in Czech Republic: Technical Results from the Year 2016. Cardiovascular and Interventional Radiology. NEW YORK: SPRINGER, 2018, vol. 41, No 12, p. 1901-1908. ISSN 0174-1551. Available from: https://dx.doi.org/10.1007/s00270-018-2068-z. |
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@article{1482600,
author = {Köcher, Martin and Šaňák, Daniel and Zapletalová, Jana and Cihlář, Filip and Czerný, Daniel and Černík, David and Duras, Petr and Endrych, Ladislav and Herzig, Roman and Lacman, Jiří and Lojík, Miroslav and Ostrý, Svatopluk and Pádr, Radek and Rohan, Vladimír and Škorňa, Miroslav and Šrámek, Martin and Štěrba, Luděk and Václavik, Daniel and Vaníček, Jiří and Volný, Ondřej and Tomek, Aleš},
article_location = {NEW YORK},
article_number = {12},
doi = {http://dx.doi.org/10.1007/s00270-018-2068-z},
keywords = {Acute ischemic stroke; Mechanical thrombectomy; Technical results; Complications; Time intervals},
language = {eng},
issn = {0174-1551},
journal = {Cardiovascular and Interventional Radiology},
title = {Mechanical Thrombectomy for Acute Ischemic Stroke in Czech Republic: Technical Results from the Year 2016},
volume = {41},
year = {2018}
}
TY - JOUR
ID - 1482600
AU - Köcher, Martin - Šaňák, Daniel - Zapletalová, Jana - Cihlář, Filip - Czerný, Daniel - Černík, David - Duras, Petr - Endrych, Ladislav - Herzig, Roman - Lacman, Jiří - Lojík, Miroslav - Ostrý, Svatopluk - Pádr, Radek - Rohan, Vladimír - Škorňa, Miroslav - Šrámek, Martin - Štěrba, Luděk - Václavik, Daniel - Vaníček, Jiří - Volný, Ondřej - Tomek, Aleš
PY - 2018
TI - Mechanical Thrombectomy for Acute Ischemic Stroke in Czech Republic: Technical Results from the Year 2016
JF - Cardiovascular and Interventional Radiology
VL - 41
IS - 12
SP - 1901-1908
EP - 1901-1908
PB - SPRINGER
SN - 01741551
KW - Acute ischemic stroke
KW - Mechanical thrombectomy
KW - Technical results
KW - Complications
KW - Time intervals
N2 - 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.
ER -
KÖCHER, Martin, Daniel ŠAŇÁK, Jana ZAPLETALOVÁ, Filip CIHLÁŘ, Daniel CZERNÝ, David ČERNÍK, Petr DURAS, Ladislav ENDRYCH, Roman HERZIG, Jiří LACMAN, Miroslav LOJÍK, Svatopluk OSTRÝ, Radek PÁDR, Vladimír ROHAN, Miroslav ŠKORŇA, Martin ŠRÁMEK, Luděk ŠTĚRBA, Daniel VÁCLAVIK, Jiří VANÍČEK, Ondřej VOLNÝ and Aleš TOMEK. Mechanical Thrombectomy for Acute Ischemic Stroke in Czech Republic: Technical Results from the Year 2016. \textit{Cardiovascular and Interventional Radiology}. NEW YORK: SPRINGER, 2018, vol.~41, No~12, p.~1901-1908. ISSN~0174-1551. Available from: https://dx.doi.org/10.1007/s00270-018-2068-z.
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