Mechanical thrombectomy in acute stroke - Five years of experience in Poland

被引：12

作者：

Slowik, Agnieszka ^{[1
]}

Wnuk, Marcin ^{[1
]}

Brzegowy, Pawel ^{[1
]}

Chrzanowska-Wasko, Joanna ^{[1
]}

Golenia, Aleksandra ^{[1
]}

Wloch-Kopec, Dorota ^{[1
]}

Serednicki, Wojciech ^{[1
]}

Jarocki, Piotr ^{[1
]}

Dziedzic, Tomasz ^{[1
]}

Popiela, Tadeusz ^{[1
]}

Lasocha, Bartlomiej ^{[2
]}

Ferens, Antoni ^{[2
]}

Bartosik-Psujek, Halina ^{[3
]}

Guz, Wieslaw ^{[3
]}

Kaczorowski, Rafal ^{[4
]}

Homa, Jaroslaw ^{[4
]}

Darocha, Janusz ^{[4
]}

Dudek, Daniel ^{[4
]}

Filip, Edward ^{[5
]}

Grzegorzak, Monika ^{[5
]}

Rejdak, Konrad ^{[6
]}

Luchowski, Piotr ^{[6
]}

Wojczal, Joanna ^{[6
]}

Sojka, Michal ^{[6
]}

Stachowicz, Sylwia ^{[6
]}

Jaworski, Jacek ^{[6
]}

Buraczynska, Kinga ^{[6
]}

Ficek, Remigiusz ^{[6
]}

Szcze-Panska-Szerej, Anna ^{[6
]}

Jargiello, Tomasz ^{[6
]}

Szczerbo-Troja-Nowska, Malgorzata ^{[6
]}

Gornik, Michal ^{[7
]}

Lasek-Bal, Anetta ^{[8
]}

Puz, Przemyslaw ^{[8
]}

Warsz-Wianecka, Aldona ^{[8
]}

Steposz, Arka-diusz ^{[8
]}

Ziaja, Krzysztof ^{[8
]}

Kuczmik, Waclaw ^{[8
]}

Urbanek, Tomasz ^{[8
]}

Ziaja, Damian ^{[8
]}

Tomalski, Witold ^{[8
,31
]}

Baron, Jan ^{[8
]}

Ochudlo, Stanislaw ^{[8
]}

Gruszka, Wojciech ^{[8
]}

Krzak-Kubica, Agnieszka ^{[8
]}

Rudzinska-Bar, Monika ^{[8
]}

Kobayashi, Adam ^{[9
]}

Richter, Przemyslaw ^{[9
]}

Czepiel, Wojciech ^{[9
]}

Kurkowska-Jastrzebska, Iwona ^{[9
]}

机构：

[1] Jagiellonian Univ, Krakow, Poland

[2] Univ Hosp, Krakow, Poland

[3] Univ Rzeszow, Med Fac, Rzeszow, Poland

[4] Clin Voivodeship Hosp 2 Rzeszow, Rzeszow, Poland

[5] Clin Voivodeship Hosp, Rzeszow, Poland

[6] Med Univ Lublin, Lublin, Poland

[7] Independent Publ Clin Hosp, Lublin, Poland

[8] Med Univ Silesia, Silesia, Poland

[9] Inst Psychiat & Neurol Warsaw, Warsaw, Poland

[10] Med Univ Warsaw, Warsaw, Poland

[11] Voivodeship Integrated Hosp, Kielce, Poland

[12] Mil Inst Med, Warsaw, Poland

[13] State Specialist Hosp, Lublin, Poland

[14] Univ Hosp, Dept Neurol, Stroke Intervent Treatment Ctr, Bydgoszcz, Poland

[15] Univ Hosp, Dept Intervent Radiol, Bydgoszcz, Poland

[16] Copernicus Mem Hosp Lodz, Comprehens Canc Ctr & Traumatol, Lodz, Poland

[17] Univ Clin Ctr, Med Univ Silesia, Dept Radiodiagnost & Invas Radiol, Silesia, Poland

[18] Med Univ Silesia, Dept Neurol, Silesia, Poland

[19] Med Univ Warsaw, Fac Hlth Sci, Dept Neurol, Warsaw, Poland

[20] Ctr Postgad Med Educ, Dept Neurosurg, Warsaw, Poland

[21] Med Univ Gdansk, Dept Adult Neurol, Gdansk, Poland

[22] Univ Clin Ctr, Gdansk, Poland

[23] Med Univ Gdansk, Dept Radiol, Gdansk, Poland

[24] Med Univ Gdansk, Dept Radiol 2, Gdansk, Poland

[25] Voivodeship Publ Hosp, Zamosc, Poland

[26] Dept Univ Med Sci, Neuroradiol, Poznan, Poland

[27] Multidisciplinary Municipal Hosp, Poznan, Poland

[28] Voivodeship Specialist Neuropsychiat Complex, Opole, Poland

[29] Poznan Univ Med Sci, Dept Neurol & Cerebrovasc Disorders, Poznan, Poland

[30] Poznan Univ Med Sci, Dept Gen & Intervent Radiol, Poznan, Poland

[31] Voivodeship Hosp, Zdroj, Poland

[32] Univ Warmia & Mazury, Fac Med Sci, Dept Neurol & Neurosurg, Olsztyn, Poland

[33] Voivodeship Specialist Hosp Olsztyn, Olsztyn, Poland

[34] Lowersilesian Specialist Hosp, Wroclaw, Poland

[35] Jan Kochanowski Univ Kielce, Kielce, Poland

[36] Hosp Sandomierz, Sandomierz, Poland

[37] Univ Hosp Wroclaw, Wroclaw, Poland

[38] Specialist Hosp Walbrzych, Walbrzych, Poland

[39] Med Univ Bialystok, Bialystok, Poland

来源：

NEUROLOGIA I NEUROCHIRURGIA POLSKA | 2017年 / 51卷 / 05期

关键词：

Acute stroke; Treatment; Mechanical thrombectomy; ACUTE ISCHEMIC-STROKE; STATEMENT ANESTHETIC MANAGEMENT; ENDOVASCULAR TREATMENT; CONSENSUS STATEMENT; RETRIEVER; EFFICACY; ANESTHESIOLOGY; THROMBOLYSIS; NEUROSCIENCE; REGISTRY;

D O I：

10.1016/j.pjnns.2017.05.004

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Objectives: Mechanical thrombectomy (MT) is not reimbursed by the Polish public health system. We present a description of 5 years of experience with MT in acute stroke in Comprehensive Stroke Centers (CSCs) in Poland. Methods and results: We retrospectively analyzed the results of a structured questionnaire from 23 out of 25 identified CSCs and 22 data sets that include 61 clinical, radiological and outcome measures. Results: Most of the CSCs (74%) were founded at University Hospitals and most (65.2%) work round the clock. In 78.3% of them, the working teams are composed of neurologists and neuro-radiologists. All CSCs perform CT and angio-CT before MT. In total 586 patients were subjected to MT and data from 531 of them were analyzed. Mean time laps from stroke onset to groin puncture was 250 +/- 99 min. 90.3% of the studied patients had MT within 6 h from stroke onset; 59.3% of them were treated with IV rt-PA prior to MT; 15.1% had IA rt-PA during MT and 4.7% - emergent stenting of a large vessel. M1 of MCA was occluded in 47.8% of cases. The Solitaire device was used in 53% of cases. Successful recanalization (TICI2b-TICI3) was achieved in 64.6% of cases and 53.4% of patients did not experience hemorrhagic transformation. Clinical improvement on discharge was noticed in 53.7% of cases, futile recanalization - in 30.7%, mRS of 0-2 - in 31.4% and mRS of 6 in 22% of cases. Conclusion: Our results can help harmonize standards for MT in Poland according to international guidelines. (C) 2017 Polish Neurological Society. Published by Elsevier Sp. z o.o. All rights reserved.

引用

页码：339 / 346

页数：8

共 34 条

[1] North American SOLITAIRE Stent-Retriever Acute Stroke Registry Choice of Anesthesia and Outcomes [J].

Abou-Chebl, Alex ;

Zaidat, Ossama O. ;

Castonguay, Alicia C. ;

Gupta, Rishi ;

Sun, Chung-Huan J. ;

Martin, Coleman O. ;

Holloway, William E. ;

Mueller-Kronast, Nils ;

English, Joey D. ;

Linfante, Italo ;

Dabus, Guilherme ;

Malisch, Timothy W. ;

Marden, Franklin A. ;

Bozorgchami, Hormozd ;

Xavier, Andrew ;

Rai, Ansaar T. ;

Froehler, Micahel T. ;

Badruddin, Aamir ;

Nguyen, Thanh N. ;

Taqi, Muhammad ;

Abraham, Michael G. ;

Janardhan, Vallabh ;

Shaltoni, Hashem ;

Novakovic, Roberta ;

Yoo, Albert J. ;

Chen, Peng R. ;

Britz, Gavin W. ;

Kaushal, Ritesh ;

Nanda, Ashish ;

Issa, Mohammad A. ;

Nogueira, Raul G. .

STROKE, 2014, 45 (05) :1396-1401

[2] CLASSIFICATION OF SUBTYPE OF ACUTE ISCHEMIC STROKE - DEFINITIONS FOR USE IN A MULTICENTER CLINICAL-TRIAL [J].

ADAMS, HP ;

BENDIXEN, BH ;

KAPPELLE, LJ ;

BILLER, J ;

LOVE, BB ;

GORDON, DL ;

MARSH, EE ;

KASE, CS ;

WOLF, PA ;

BABIKIAN, VL ;

LICATAGEHR, EE ;

ALLEN, N ;

BRASS, LM ;

FAYAD, PB ;

PAVALKIS, FJ ;

WEINBERGER, JM ;

TUHRIM, S ;

RUDOLPH, SH ;

HOROWITZ, DR ;

BITTON, A ;

MOHR, JP ;

SACCO, RL ;

CLAVIJO, M ;

ROSENBAUM, DM ;

SPARR, SA ;

KATZ, P ;

KLONOWSKI, E ;

CULEBRAS, A ;

CAREY, G ;

MARTIR, NI ;

FICARRA, C ;

HOGAN, EL ;

CARTER, T ;

GURECKI, P ;

MUNTZ, BK ;

RAMIREZLASSEPAS, M ;

TULLOCH, JW ;

QUINONES, MR ;

MENDEZ, M ;

ZHANG, SM ;

ALA, T ;

JOHNSTON, KC ;

ANDERSON, DC ;

TARREL, RM ;

NANCE, MA ;

BUDLIE, SR ;

DIERICH, M ;

HELGASON, CM ;

HIER, DB ;

SHAPIRO, RA .

STROKE, 1993, 24 (01) :35-41

[3] Recommendations for comprehensive stroke centers - A consensus statement from the brain attack coalition [J].

Alberts, MJ ;

Latchaw, RE ;

Selman, WR ;

Shephard, T ;

Hadley, MN ;

Brass, LM ;

Koroshetz, W ;

Marler, JR ;

Booss, J ;

Zorowitz, RD ;

Croft, JB ;

Magnis, E ;

Mulligan, D ;

Jagoda, A ;

O'Connor, R ;

Cawley, CM ;

Connors, JJ ;

Rose-DeRenzy, JA ;

Emr, M ;

Warren, M ;

Walker, MD .

STROKE, 2005, 36 (07) :1597-1616

[4] Clinical Outcome of Mechanical Thrombectomy for Stroke in the Elderly [J].

Azkune Calle, Itxaso ;

Bocos Portillo, Jone ;

Anton-Ladislao, Ane ;

Gil Garcia, Alberto ;

Gonzalez Diaz, Eva ;

Gomez-Beldarrain, Marian ;

Fernandez Maiztegi, Covadonga ;

Pinedo Brochado, Ana ;

Carlos Garcia-Monco, Juan .

JOURNAL OF STROKE & CEREBROVASCULAR DISEASES, 2017, 26 (03) :582-588

[5] Safety and Efficacy of Mechanical Thrombectomy in Acute Ischemic Stroke of Anticoagulated Patients-A Prospective Observational Study [J].

Benavente, Lorena ;

Larrosa, Davinia ;

Garcia-Cabo, Carmen ;

Perez, Angel I. ;

Rico, Maria ;

Vega, Pedro ;

Murias, Eduardo ;

Calleja, Sergio .

JOURNAL OF STROKE & CEREBROVASCULAR DISEASES, 2016, 25 (09) :2093-2098

[6] A Randomized Trial of Intraarterial Treatment for Acute Ischemic Stroke [J].

Berkhemer, O. A. ;

Fransen, P. S. S. ;

Beumer, D. ;

van den Berg, L. A. ;

Lingsma, H. F. ;

Yoo, A. J. ;

Schonewille, W. J. ;

Vos, J. A. ;

Nederkoorn, P. J. ;

Wermer, M. J. H. ;

van Walderveen, M. A. A. ;

Staals, J. ;

Hofmeijer, J. ;

van Oostayen, J. A. ;

Nijeholt, G. J. Lycklama A. ;

Boiten, J. ;

Brouwer, P. A. ;

Emmer, B. J. ;

de Bruijn, S. F. ;

van Dijk, L. C. ;

Kappelle, L. J. ;

Lo, R. H. ;

Van Dijk, E. J. ;

de Vries, J. ;

de Kort, P. L. M. ;

van Rooij, W. J. J. ;

van den Berg, J. S. P. ;

van Hasselt, B. A. A. M. ;

Aerden, L. A. M. ;

Dallinga, R. J. ;

Visser, M. C. ;

Bot, J. C. J. ;

Vroomen, P. C. ;

Eshghi, O. ;

Schreuder, T. H. C. M. L. ;

Heijboer, R. J. J. ;

Keizer, K. ;

Tielbeek, A. V. ;

den Hertog, H. M. ;

Gerrits, D. G. ;

van den Berg-Vos, R. M. ;

Karas, G. B. ;

Steyerberg, E. W. ;

Flach, H. Z. ;

Marquering, H. A. ;

Sprengers, M. E. S. ;

Jenniskens, S. F. M. ;

Beenen, L. F. M. ;

van den Berg, R. ;

Koudstaal, P. J. .

NEW ENGLAND JOURNAL OF MEDICINE, 2015, 372 (01) :11-20

[7] MEASUREMENTS OF ACUTE CEREBRAL INFARCTION - A CLINICAL EXAMINATION SCALE [J].

BROTT, T ;

ADAMS, HP ;

OLINGER, CP ;

MARLER, JR ;

BARSAN, WG ;

BILLER, J ;

SPILKER, J ;

HOLLERAN, R ;

EBERLE, R ;

HERTZBERG, V ;

RORICK, M ;

MOOMAW, CJ ;

WALKER, M .

STROKE, 1989, 20 (07) :864-870

[8] Endovascular Therapy for Ischemic Stroke with Perfusion-Imaging Selection [J].

Campbell, B. C. V. ;

Mitchell, P. J. ;

Kleinig, T. J. ;

Dewey, H. M. ;

Churilov, L. ;

Yassi, N. ;

Yan, B. ;

Dowling, R. J. ;

Parsons, M. W. ;

Oxley, T. J. ;

Wu, T. Y. ;

Brooks, M. ;

Simpson, M. A. ;

Miteff, F. ;

Levi, C. R. ;

Krause, M. ;

Harrington, T. J. ;

Faulder, K. C. ;

Steinfort, B. S. ;

Priglinger, M. ;

Ang, T. ;

Scroop, R. ;

Barber, P. A. ;

McGuinness, B. ;

Wijeratne, T. ;

Phan, T. G. ;

Chong, W. ;

Chandra, R. V. ;

Bladin, C. F. ;

Badve, M. ;

Rice, H. ;

de Villiers, L. ;

Ma, H. ;

Desmond, P. M. ;

Donnan, G. A. ;

Davis, S. M. .

NEW ENGLAND JOURNAL OF MEDICINE, 2015, 372 (11) :1009-1018

[9] Clinical Outcome Predicted by Collaterals Depends on Technical Success of Mechanical Thrombectomy in Middle Cerebral Artery Occlusion [J].

Gersing, Alexandra S. ;

Schwaiger, Benedikt J. ;

Kleine, Justus F. ;

Kaesmacher, Johannes ;

Wunderlich, Silke ;

Friedrich, Benjamin ;

Prothmann, Sascha ;

Zimmer, Claus ;

Boeckh-Behrens, Tobias .

JOURNAL OF STROKE & CEREBROVASCULAR DISEASES, 2017, 26 (04) :801-808

[10] Randomized Assessment of Rapid Endovascular Treatment of Ischemic Stroke [J].

Goyal, M. ;

Demchuk, A. M. ;

Menon, B. K. ;

Eesa, M. ;

Rempel, J. L. ;

Thornton, J. ;

Roy, D. ;

Jovin, T. G. ;

Willinsky, R. A. ;

Sapkota, B. L. ;

Dowlatshahi, D. ;

Frei, D. F. ;

Kamal, N. R. ;

Montanera, W. J. ;

Poppe, A. Y. ;

Ryckborst, K. J. ;

Silver, F. L. ;

Shuaib, A. ;

Tampieri, D. ;

Williams, D. ;

Bang, O. Y. ;

Baxter, B. W. ;

Burns, P. A. ;

Choe, H. ;

Heo, J. -H. ;

Holmstedt, C. A. ;

Jankowitz, B. ;

Kelly, M. ;

Linares, G. ;

Mandzia, J. L. ;

Shankar, J. ;

Sohn, S. -I. ;

Swartz, R. H. ;

Barber, P. A. ;

Coutts, S. B. ;

Smith, E. E. ;

Morrish, W. F. ;

Weill, A. ;

Subramaniam, S. ;

Mitha, A. P. ;

Wong, J. H. ;

Lowerison, M. W. ;

Sajobi, T. T. ;

Hill, M. D. .

NEW ENGLAND JOURNAL OF MEDICINE, 2015, 372 (11) :1019-1030

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