Mechanical thrombectomy in acute stroke : five years of experience in Poland

2017
journal article
article
13
dc.abstract.enObjectives: 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 guidelinespl
dc.affiliationWydział Lekarski : Zakład Neurogenetykipl
dc.affiliationWydział Lekarski : Klinika Neurologiipl
dc.affiliationWydział Lekarski : Zakład Radiologiipl
dc.affiliationWydział Lekarski : Klinika Intensywnej Terapii Interdyscyplinarnejpl
dc.cm.date2020-01-07
dc.cm.id84447
dc.contributor.authorSłowik, Agnieszka - 133430 pl
dc.contributor.authorWnuk, Marcin - 228401 pl
dc.contributor.authorBrzegowy, Paweł - 128881 pl
dc.contributor.authorChrzanowska-Waśko, Joanna - 255163 pl
dc.contributor.authorGolenia, Aleksandra - 200511 pl
dc.contributor.authorŁasocha, Bartłomiej - 215017 pl
dc.contributor.authorWłoch-Kopeć, Dorota - 214379 pl
dc.contributor.authorFerens, Antonipl
dc.contributor.authorSerednicki, Wojciech - 133373 pl
dc.contributor.authorJarocki, Piotr - 129846 pl
dc.contributor.authorBartosik-Psujek, Halinapl
dc.contributor.authorKaczorowski, Rafałpl
dc.contributor.authorFilip, Edwardpl
dc.contributor.authorGrzegorzak, Monikapl
dc.contributor.authorHoma, Jarosławpl
dc.contributor.authorDarocha, Januszpl
dc.contributor.authorDedek, Danielpl
dc.contributor.authorGuz, Wiesławpl
dc.contributor.authorRejdak, Konradpl
dc.contributor.authorLuchowski, Piotrpl
dc.contributor.authorWojczal, Joannapl
dc.contributor.authorSojka, Michałpl
dc.contributor.authorGórnik, Michałpl
dc.contributor.authorStachowicz, Sylwiapl
dc.contributor.authorJaworski, Jacekpl
dc.contributor.authorBuraczyńska, Kingapl
dc.contributor.authorFicek, Remigiuszpl
dc.contributor.authorSzczepańska-Szerej, Annapl
dc.contributor.authorJargiełło, Tomaszpl
dc.contributor.authorSzczerbo-Trojanowska, Małgorzatapl
dc.contributor.authorLasek-Bal, Anettapl
dc.contributor.authorPuz, Przemysławpl
dc.contributor.authorWarsz-Wianecka, Aldonapl
dc.contributor.authorStęposz, Arkadiuszpl
dc.contributor.authorZiaja, Krzysztofpl
dc.contributor.authorKuczmik, Wacławpl
dc.contributor.authorUrbanek, Tomaszpl
dc.contributor.authorZiaja, Damianpl
dc.contributor.authorTomalski, Witoldpl
dc.contributor.authorKobayashi, Adampl
dc.contributor.authorRichter, Przemysławpl
dc.contributor.authorPłoński, Andrzejpl
dc.contributor.authorKotkowski, Marcinpl
dc.contributor.authorCzepiel, Wojciechpl
dc.contributor.authorKurkowska-Jastrzębska, Iwonapl
dc.contributor.authorSienkiewicz-Jarosz, Halinapl
dc.contributor.authorCzłonkowska, Annapl
dc.contributor.authorBłażejewska-Hyżorek, Beatapl
dc.contributor.authorRyglewicz, Danutapl
dc.contributor.authorKonopko, Magdalenapl
dc.contributor.authorBrelak, Edytapl
dc.contributor.authorAntecki, Jacekpl
dc.contributor.authorSzydłowski, Igorpl
dc.contributor.authorWłosek, Maciejpl
dc.contributor.authorStępień, Adampl
dc.contributor.authorBrzozowski, Krzysztofpl
dc.contributor.authorStaszewski, Jacekpl
dc.contributor.authorPiasecki, Piotrpl
dc.contributor.authorZięcina, Piotrpl
dc.contributor.authorWołoszyńska, Izabelapl
dc.contributor.authorKolmaga, Norbertpl
dc.contributor.authorNarloch, Jerzypl
dc.contributor.authorHasiec, Tomaszpl
dc.contributor.authorGawłowicz, Jacekpl
dc.contributor.authorPędracka, Monikapl
dc.contributor.authorPorębiak, Jacekpl
dc.contributor.authorGrzechnik, Bogumiłpl
dc.contributor.authorMatsibora, Vadympl
dc.contributor.authorFrąszczak, Michałpl
dc.contributor.authorLeus, Marcinpl
dc.contributor.authorMazgaj, Maciejpl
dc.contributor.authorPalacz-Duda, Violettapl
dc.contributor.authorMeder, Grzegorzpl
dc.contributor.authorSkura, Wojciechpl
dc.contributor.authorPłeszka, Piotrpl
dc.contributor.authorŚwitońska, Milenapl
dc.contributor.authorSłomiński, Krzyszttofpl
dc.contributor.authorKościelniak, Józefpl
dc.contributor.authorSobieszak-Skura, Paulinapl
dc.contributor.authorKonieczna-Brazis, Magdalenapl
dc.contributor.authorRowiński, Olgierdpl
dc.contributor.authorOpuchlik, Andrzejpl
dc.contributor.authorMickielewicz, Anatolpl
dc.contributor.authorSzyluk, Beatapl
dc.contributor.authorSzczudlik, Piotrpl
dc.contributor.authorKostera-Pruszczyk, Annapl
dc.contributor.authorJaworski, Maciejpl
dc.contributor.authorMaciąg, Rafałpl
dc.contributor.authorŻyłkowski, Jarosławpl
dc.contributor.authorAdamkiewicz, Bożenapl
dc.contributor.authorSzubert, Wojciechpl
dc.contributor.authorChrząstek, Jarosławpl
dc.contributor.authorRaźniewski, Marekpl
dc.contributor.authorPawelec, Agnieszkapl
dc.contributor.authorWilimborek, Pawełpl
dc.contributor.authorWagner, Ryszardpl
dc.contributor.authorPilarski, Pawełpl
dc.contributor.authorGierach, Pawełpl
dc.contributor.authorBaron, Janpl
dc.contributor.authorGruszka, Wojciechpl
dc.contributor.authorOchudło, Stanisławpl
dc.contributor.authorRudzińska-Bar, Monika - 161579 pl
dc.contributor.authorZbroszczyk, Miłoszpl
dc.contributor.authorSmulska, Kamilapl
dc.contributor.authorArkuszewski, Michałpl
dc.contributor.authorRóżański, Dorotapl
dc.contributor.authorKoziorowski, Dariuszpl
dc.contributor.authorMeisner-Kramarz, Izabelapl
dc.contributor.authorSzlufik, Stanisławpl
dc.contributor.authorZaczyński, Arturpl
dc.contributor.authorKądziołka, Krzysztofpl
dc.contributor.authorKordecki, Kazimierzpl
dc.contributor.authorZawadzki, Michałpl
dc.contributor.authorZąbek, Mirosławpl
dc.contributor.authorKaraszewski, Bartoszpl
dc.contributor.authorGąsecki, Dariuszpl
dc.contributor.authorŁowiec, Pawełpl
dc.contributor.authorDorniak, Waldemarpl
dc.contributor.authorGorycki, Tomaszpl
dc.contributor.authorSzurowska, Edytapl
dc.contributor.authorWierzchowska-Cioch, Ewapl
dc.contributor.authorSmyk, Tomaszpl
dc.contributor.authorSzajnoga, Beatapl
dc.contributor.authorBachta, Marcinpl
dc.contributor.authorMazurek, Kajetanpl
dc.contributor.authorPiwowarska, Magdalenapl
dc.contributor.authorKociemba, Wojciechpl
dc.contributor.authorDrożdż, Arturpl
dc.contributor.authorDąbrowski, Adrianpl
dc.contributor.authorGlonek, Michałpl
dc.contributor.authorWawrzyniak, Małgorzatapl
dc.contributor.authorKaźmierski, Radosławpl
dc.contributor.authorJuszkat, Robertpl
dc.contributor.authorTomalski, Witoldpl
dc.contributor.authorHeliosz, Adampl
dc.contributor.authorRyszczyk, Adampl
dc.contributor.authorZwiernik, Jacekpl
dc.contributor.authorWasilewski, Grzegorzpl
dc.contributor.authorTutaj, Andrzejpl
dc.contributor.authorDałek, Grzegorzpl
dc.contributor.authorNosek, Krzysztofpl
dc.contributor.authorBereza, Sławomirpl
dc.contributor.authorLubkowska, Katarzynapl
dc.contributor.authorKamienowski, Jerzypl
dc.contributor.authorSobolewski, Piotrpl
dc.contributor.authorBielecki, Adampl
dc.contributor.authorMiś, Maciejpl
dc.contributor.authorMiś, Marcinpl
dc.contributor.authorKrużewska-Orłowska, Mariapl
dc.contributor.authorKochanowicz, Janpl
dc.contributor.authorMariak, Zenonpl
dc.contributor.authorJakoniuk, Martapl
dc.contributor.authorTurek, Grzegorzpl
dc.contributor.authorŁebkowska, Urszulapl
dc.contributor.authorLewszuk, Andrzejpl
dc.contributor.authorDziedzic, Tomasz - 129311 pl
dc.contributor.authorPopiela, Tadeusz - 133200 pl
dc.date.accession2021-02-26pl
dc.date.accessioned2020-01-17T09:17:45Z
dc.date.available2020-01-17T09:17:45Z
dc.date.issued2017pl
dc.date.openaccess0
dc.description.accesstimew momencie opublikowania
dc.description.number5pl
dc.description.physical339-346pl
dc.description.points15pl
dc.description.versionostateczna wersja wydawcy
dc.description.volume51pl
dc.identifier.doi10.1016/j.pjnns.2017.05.004pl
dc.identifier.eissn1897-4260pl
dc.identifier.issn0028-3843pl
dc.identifier.projectROD UJ / OPpl
dc.identifier.urihttps://ruj.uj.edu.pl/xmlui/handle/item/141167
dc.identifier.weblinkhttps://journals.viamedica.pl/neurologia_neurochirurgia_polska/article/view/61259pl
dc.languageengpl
dc.language.containerengpl
dc.rightsUdzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Bez utworów zależnych 4.0 Międzynarodowa*
dc.rights.licenceCC-BY-NC-ND
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/legalcode.pl*
dc.share.typeotwarte czasopismo
dc.subject.enacute strokepl
dc.subject.entreatmentpl
dc.subject.enmechanical thrombectomypl
dc.subtypeArticlepl
dc.titleMechanical thrombectomy in acute stroke : five years of experience in Polandpl
dc.title.journalNeurologia i Neurochirurgia Polskapl
dc.typeJournalArticlepl
dspace.entity.typePublication
dc.abstract.enpl
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
dc.affiliationpl
Wydział Lekarski : Zakład Neurogenetyki
dc.affiliationpl
Wydział Lekarski : Klinika Neurologii
dc.affiliationpl
Wydział Lekarski : Zakład Radiologii
dc.affiliationpl
Wydział Lekarski : Klinika Intensywnej Terapii Interdyscyplinarnej
dc.cm.date
2020-01-07
dc.cm.id
84447
dc.contributor.authorpl
Słowik, Agnieszka - 133430
dc.contributor.authorpl
Wnuk, Marcin - 228401
dc.contributor.authorpl
Brzegowy, Paweł - 128881
dc.contributor.authorpl
Chrzanowska-Waśko, Joanna - 255163
dc.contributor.authorpl
Golenia, Aleksandra - 200511
dc.contributor.authorpl
Łasocha, Bartłomiej - 215017
dc.contributor.authorpl
Włoch-Kopeć, Dorota - 214379
dc.contributor.authorpl
Ferens, Antoni
dc.contributor.authorpl
Serednicki, Wojciech - 133373
dc.contributor.authorpl
Jarocki, Piotr - 129846
dc.contributor.authorpl
Bartosik-Psujek, Halina
dc.contributor.authorpl
Kaczorowski, Rafał
dc.contributor.authorpl
Filip, Edward
dc.contributor.authorpl
Grzegorzak, Monika
dc.contributor.authorpl
Homa, Jarosław
dc.contributor.authorpl
Darocha, Janusz
dc.contributor.authorpl
Dedek, Daniel
dc.contributor.authorpl
Guz, Wiesław
dc.contributor.authorpl
Rejdak, Konrad
dc.contributor.authorpl
Luchowski, Piotr
dc.contributor.authorpl
Wojczal, Joanna
dc.contributor.authorpl
Sojka, Michał
dc.contributor.authorpl
Górnik, Michał
dc.contributor.authorpl
Stachowicz, Sylwia
dc.contributor.authorpl
Jaworski, Jacek
dc.contributor.authorpl
Buraczyńska, Kinga
dc.contributor.authorpl
Ficek, Remigiusz
dc.contributor.authorpl
Szczepańska-Szerej, Anna
dc.contributor.authorpl
Jargiełło, Tomasz
dc.contributor.authorpl
Szczerbo-Trojanowska, Małgorzata
dc.contributor.authorpl
Lasek-Bal, Anetta
dc.contributor.authorpl
Puz, Przemysław
dc.contributor.authorpl
Warsz-Wianecka, Aldona
dc.contributor.authorpl
Stęposz, Arkadiusz
dc.contributor.authorpl
Ziaja, Krzysztof
dc.contributor.authorpl
Kuczmik, Wacław
dc.contributor.authorpl
Urbanek, Tomasz
dc.contributor.authorpl
Ziaja, Damian
dc.contributor.authorpl
Tomalski, Witold
dc.contributor.authorpl
Kobayashi, Adam
dc.contributor.authorpl
Richter, Przemysław
dc.contributor.authorpl
Płoński, Andrzej
dc.contributor.authorpl
Kotkowski, Marcin
dc.contributor.authorpl
Czepiel, Wojciech
dc.contributor.authorpl
Kurkowska-Jastrzębska, Iwona
dc.contributor.authorpl
Sienkiewicz-Jarosz, Halina
dc.contributor.authorpl
Członkowska, Anna
dc.contributor.authorpl
Błażejewska-Hyżorek, Beata
dc.contributor.authorpl
Ryglewicz, Danuta
dc.contributor.authorpl
Konopko, Magdalena
dc.contributor.authorpl
Brelak, Edyta
dc.contributor.authorpl
Antecki, Jacek
dc.contributor.authorpl
Szydłowski, Igor
dc.contributor.authorpl
Włosek, Maciej
dc.contributor.authorpl
Stępień, Adam
dc.contributor.authorpl
Brzozowski, Krzysztof
dc.contributor.authorpl
Staszewski, Jacek
dc.contributor.authorpl
Piasecki, Piotr
dc.contributor.authorpl
Zięcina, Piotr
dc.contributor.authorpl
Wołoszyńska, Izabela
dc.contributor.authorpl
Kolmaga, Norbert
dc.contributor.authorpl
Narloch, Jerzy
dc.contributor.authorpl
Hasiec, Tomasz
dc.contributor.authorpl
Gawłowicz, Jacek
dc.contributor.authorpl
Pędracka, Monika
dc.contributor.authorpl
Porębiak, Jacek
dc.contributor.authorpl
Grzechnik, Bogumił
dc.contributor.authorpl
Matsibora, Vadym
dc.contributor.authorpl
Frąszczak, Michał
dc.contributor.authorpl
Leus, Marcin
dc.contributor.authorpl
Mazgaj, Maciej
dc.contributor.authorpl
Palacz-Duda, Violetta
dc.contributor.authorpl
Meder, Grzegorz
dc.contributor.authorpl
Skura, Wojciech
dc.contributor.authorpl
Płeszka, Piotr
dc.contributor.authorpl
Świtońska, Milena
dc.contributor.authorpl
Słomiński, Krzyszttof
dc.contributor.authorpl
Kościelniak, Józef
dc.contributor.authorpl
Sobieszak-Skura, Paulina
dc.contributor.authorpl
Konieczna-Brazis, Magdalena
dc.contributor.authorpl
Rowiński, Olgierd
dc.contributor.authorpl
Opuchlik, Andrzej
dc.contributor.authorpl
Mickielewicz, Anatol
dc.contributor.authorpl
Szyluk, Beata
dc.contributor.authorpl
Szczudlik, Piotr
dc.contributor.authorpl
Kostera-Pruszczyk, Anna
dc.contributor.authorpl
Jaworski, Maciej
dc.contributor.authorpl
Maciąg, Rafał
dc.contributor.authorpl
Żyłkowski, Jarosław
dc.contributor.authorpl
Adamkiewicz, Bożena
dc.contributor.authorpl
Szubert, Wojciech
dc.contributor.authorpl
Chrząstek, Jarosław
dc.contributor.authorpl
Raźniewski, Marek
dc.contributor.authorpl
Pawelec, Agnieszka
dc.contributor.authorpl
Wilimborek, Paweł
dc.contributor.authorpl
Wagner, Ryszard
dc.contributor.authorpl
Pilarski, Paweł
dc.contributor.authorpl
Gierach, Paweł
dc.contributor.authorpl
Baron, Jan
dc.contributor.authorpl
Gruszka, Wojciech
dc.contributor.authorpl
Ochudło, Stanisław
dc.contributor.authorpl
Rudzińska-Bar, Monika - 161579
dc.contributor.authorpl
Zbroszczyk, Miłosz
dc.contributor.authorpl
Smulska, Kamila
dc.contributor.authorpl
Arkuszewski, Michał
dc.contributor.authorpl
Różański, Dorota
dc.contributor.authorpl
Koziorowski, Dariusz
dc.contributor.authorpl
Meisner-Kramarz, Izabela
dc.contributor.authorpl
Szlufik, Stanisław
dc.contributor.authorpl
Zaczyński, Artur
dc.contributor.authorpl
Kądziołka, Krzysztof
dc.contributor.authorpl
Kordecki, Kazimierz
dc.contributor.authorpl
Zawadzki, Michał
dc.contributor.authorpl
Ząbek, Mirosław
dc.contributor.authorpl
Karaszewski, Bartosz
dc.contributor.authorpl
Gąsecki, Dariusz
dc.contributor.authorpl
Łowiec, Paweł
dc.contributor.authorpl
Dorniak, Waldemar
dc.contributor.authorpl
Gorycki, Tomasz
dc.contributor.authorpl
Szurowska, Edyta
dc.contributor.authorpl
Wierzchowska-Cioch, Ewa
dc.contributor.authorpl
Smyk, Tomasz
dc.contributor.authorpl
Szajnoga, Beata
dc.contributor.authorpl
Bachta, Marcin
dc.contributor.authorpl
Mazurek, Kajetan
dc.contributor.authorpl
Piwowarska, Magdalena
dc.contributor.authorpl
Kociemba, Wojciech
dc.contributor.authorpl
Drożdż, Artur
dc.contributor.authorpl
Dąbrowski, Adrian
dc.contributor.authorpl
Glonek, Michał
dc.contributor.authorpl
Wawrzyniak, Małgorzata
dc.contributor.authorpl
Kaźmierski, Radosław
dc.contributor.authorpl
Juszkat, Robert
dc.contributor.authorpl
Tomalski, Witold
dc.contributor.authorpl
Heliosz, Adam
dc.contributor.authorpl
Ryszczyk, Adam
dc.contributor.authorpl
Zwiernik, Jacek
dc.contributor.authorpl
Wasilewski, Grzegorz
dc.contributor.authorpl
Tutaj, Andrzej
dc.contributor.authorpl
Dałek, Grzegorz
dc.contributor.authorpl
Nosek, Krzysztof
dc.contributor.authorpl
Bereza, Sławomir
dc.contributor.authorpl
Lubkowska, Katarzyna
dc.contributor.authorpl
Kamienowski, Jerzy
dc.contributor.authorpl
Sobolewski, Piotr
dc.contributor.authorpl
Bielecki, Adam
dc.contributor.authorpl
Miś, Maciej
dc.contributor.authorpl
Miś, Marcin
dc.contributor.authorpl
Krużewska-Orłowska, Maria
dc.contributor.authorpl
Kochanowicz, Jan
dc.contributor.authorpl
Mariak, Zenon
dc.contributor.authorpl
Jakoniuk, Marta
dc.contributor.authorpl
Turek, Grzegorz
dc.contributor.authorpl
Łebkowska, Urszula
dc.contributor.authorpl
Lewszuk, Andrzej
dc.contributor.authorpl
Dziedzic, Tomasz - 129311
dc.contributor.authorpl
Popiela, Tadeusz - 133200
dc.date.accessionpl
2021-02-26
dc.date.accessioned
2020-01-17T09:17:45Z
dc.date.available
2020-01-17T09:17:45Z
dc.date.issuedpl
2017
dc.date.openaccess
0
dc.description.accesstime
w momencie opublikowania
dc.description.numberpl
5
dc.description.physicalpl
339-346
dc.description.pointspl
15
dc.description.version
ostateczna wersja wydawcy
dc.description.volumepl
51
dc.identifier.doipl
10.1016/j.pjnns.2017.05.004
dc.identifier.eissnpl
1897-4260
dc.identifier.issnpl
0028-3843
dc.identifier.projectpl
ROD UJ / OP
dc.identifier.uri
https://ruj.uj.edu.pl/xmlui/handle/item/141167
dc.identifier.weblinkpl
https://journals.viamedica.pl/neurologia_neurochirurgia_polska/article/view/61259
dc.languagepl
eng
dc.language.containerpl
eng
dc.rights*
Udzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Bez utworów zależnych 4.0 Międzynarodowa
dc.rights.licence
CC-BY-NC-ND
dc.rights.uri*
http://creativecommons.org/licenses/by-nc-nd/4.0/legalcode.pl
dc.share.type
otwarte czasopismo
dc.subject.enpl
acute stroke
dc.subject.enpl
treatment
dc.subject.enpl
mechanical thrombectomy
dc.subtypepl
Article
dc.titlepl
Mechanical thrombectomy in acute stroke : five years of experience in Poland
dc.title.journalpl
Neurologia i Neurochirurgia Polska
dc.typepl
JournalArticle
dspace.entity.type
Publication
Affiliations

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