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

J 2018

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

KÖCHER, Martin, Daniel ŠAŇÁK, Jana ZAPLETALOVÁ, Filip CIHLÁŘ, Daniel CZERNÝ et. al.

Základní údaje

Originální název

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

Autoři

KÖCHER, Martin (203 Česká republika), Daniel ŠAŇÁK (203 Česká republika, garant), Jana ZAPLETALOVÁ (203 Česká republika), Filip CIHLÁŘ (203 Česká republika), Daniel CZERNÝ (203 Česká republika), David ČERNÍK (203 Česká republika), Petr DURAS (203 Česká republika), Ladislav ENDRYCH (203 Česká republika), Roman HERZIG (203 Česká republika), Jiří LACMAN (203 Česká republika), Miroslav LOJÍK (203 Česká republika), Svatopluk OSTRÝ (203 Česká republika), Radek PÁDR (203 Česká republika), Vladimír ROHAN (203 Česká republika), Miroslav ŠKORŇA (203 Česká republika, domácí), Martin ŠRÁMEK (203 Česká republika), Luděk ŠTĚRBA (203 Česká republika), Daniel VÁCLAVIK (203 Česká republika), Jiří VANÍČEK (203 Česká republika, domácí), Ondřej VOLNÝ (203 Česká republika, domácí) a Aleš TOMEK (203 Česká republika)

Vydání

Cardiovascular and Interventional Radiology, NEW YORK, SPRINGER, 2018, 0174-1551

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30224 Radiology, nuclear medicine and medical imaging

Stát vydavatele

Spojené státy

Utajení

není předmětem státního či obchodního tajemství

Impakt faktor

Impact factor: 1.928

Kód RIV

RIV/00216224:14110/18:00105176

Organizační jednotka

Lékařská fakulta

DOI

http://dx.doi.org/10.1007/s00270-018-2068-z

UT WoS

000451931100010

Klíčová slova anglicky

Acute ischemic stroke; Mechanical thrombectomy; Technical results; Complications; Time intervals

Štítky

14110119, 14110127, 14110221, rivok

Příznaky

Mezinárodní význam, Recenzováno

Změněno: 10. 2. 2019 15:50, Soňa Böhmová

Anotace

V originále

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.

Citovat

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 a 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, roč. 41, č. 12, s. 1901-1908. ISSN 0174-1551. Dostupné z: https://dx.doi.org/10.1007/s00270-018-2068-z.

@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 a 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, roč.~41, č.~12, s.~1901-1908. ISSN~0174-1551. Dostupné z: https://dx.doi.org/10.1007/s00270-018-2068-z.

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