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Mechanical thrombectomy in acute stroke : five years of experience in Poland
acute stroke
treatment
mechanical thrombectomy
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.abstract.en | 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 | pl |
dc.affiliation | Wydział Lekarski : Zakład Neurogenetyki | pl |
dc.affiliation | Wydział Lekarski : Klinika Neurologii | pl |
dc.affiliation | Wydział Lekarski : Zakład Radiologii | pl |
dc.affiliation | Wydział Lekarski : Klinika Intensywnej Terapii Interdyscyplinarnej | pl |
dc.cm.date | 2020-01-07 | |
dc.cm.id | 84447 | |
dc.contributor.author | Słowik, Agnieszka - 133430 | pl |
dc.contributor.author | Wnuk, Marcin - 228401 | pl |
dc.contributor.author | Brzegowy, Paweł - 128881 | pl |
dc.contributor.author | Chrzanowska-Waśko, Joanna - 255163 | pl |
dc.contributor.author | Golenia, Aleksandra - 200511 | pl |
dc.contributor.author | Łasocha, Bartłomiej - 215017 | pl |
dc.contributor.author | Włoch-Kopeć, Dorota - 214379 | pl |
dc.contributor.author | Ferens, Antoni | pl |
dc.contributor.author | Serednicki, Wojciech - 133373 | pl |
dc.contributor.author | Jarocki, Piotr - 129846 | pl |
dc.contributor.author | Bartosik-Psujek, Halina | pl |
dc.contributor.author | Kaczorowski, Rafał | pl |
dc.contributor.author | Filip, Edward | pl |
dc.contributor.author | Grzegorzak, Monika | pl |
dc.contributor.author | Homa, Jarosław | pl |
dc.contributor.author | Darocha, Janusz | pl |
dc.contributor.author | Dedek, Daniel | pl |
dc.contributor.author | Guz, Wiesław | pl |
dc.contributor.author | Rejdak, Konrad | pl |
dc.contributor.author | Luchowski, Piotr | pl |
dc.contributor.author | Wojczal, Joanna | pl |
dc.contributor.author | Sojka, Michał | pl |
dc.contributor.author | Górnik, Michał | pl |
dc.contributor.author | Stachowicz, Sylwia | pl |
dc.contributor.author | Jaworski, Jacek | pl |
dc.contributor.author | Buraczyńska, Kinga | pl |
dc.contributor.author | Ficek, Remigiusz | pl |
dc.contributor.author | Szczepańska-Szerej, Anna | pl |
dc.contributor.author | Jargiełło, Tomasz | pl |
dc.contributor.author | Szczerbo-Trojanowska, Małgorzata | pl |
dc.contributor.author | Lasek-Bal, Anetta | pl |
dc.contributor.author | Puz, Przemysław | pl |
dc.contributor.author | Warsz-Wianecka, Aldona | pl |
dc.contributor.author | Stęposz, Arkadiusz | pl |
dc.contributor.author | Ziaja, Krzysztof | pl |
dc.contributor.author | Kuczmik, Wacław | pl |
dc.contributor.author | Urbanek, Tomasz | pl |
dc.contributor.author | Ziaja, Damian | pl |
dc.contributor.author | Tomalski, Witold | pl |
dc.contributor.author | Kobayashi, Adam | pl |
dc.contributor.author | Richter, Przemysław | pl |
dc.contributor.author | Płoński, Andrzej | pl |
dc.contributor.author | Kotkowski, Marcin | pl |
dc.contributor.author | Czepiel, Wojciech | pl |
dc.contributor.author | Kurkowska-Jastrzębska, Iwona | pl |
dc.contributor.author | Sienkiewicz-Jarosz, Halina | pl |
dc.contributor.author | Członkowska, Anna | pl |
dc.contributor.author | Błażejewska-Hyżorek, Beata | pl |
dc.contributor.author | Ryglewicz, Danuta | pl |
dc.contributor.author | Konopko, Magdalena | pl |
dc.contributor.author | Brelak, Edyta | pl |
dc.contributor.author | Antecki, Jacek | pl |
dc.contributor.author | Szydłowski, Igor | pl |
dc.contributor.author | Włosek, Maciej | pl |
dc.contributor.author | Stępień, Adam | pl |
dc.contributor.author | Brzozowski, Krzysztof | pl |
dc.contributor.author | Staszewski, Jacek | pl |
dc.contributor.author | Piasecki, Piotr | pl |
dc.contributor.author | Zięcina, Piotr | pl |
dc.contributor.author | Wołoszyńska, Izabela | pl |
dc.contributor.author | Kolmaga, Norbert | pl |
dc.contributor.author | Narloch, Jerzy | pl |
dc.contributor.author | Hasiec, Tomasz | pl |
dc.contributor.author | Gawłowicz, Jacek | pl |
dc.contributor.author | Pędracka, Monika | pl |
dc.contributor.author | Porębiak, Jacek | pl |
dc.contributor.author | Grzechnik, Bogumił | pl |
dc.contributor.author | Matsibora, Vadym | pl |
dc.contributor.author | Frąszczak, Michał | pl |
dc.contributor.author | Leus, Marcin | pl |
dc.contributor.author | Mazgaj, Maciej | pl |
dc.contributor.author | Palacz-Duda, Violetta | pl |
dc.contributor.author | Meder, Grzegorz | pl |
dc.contributor.author | Skura, Wojciech | pl |
dc.contributor.author | Płeszka, Piotr | pl |
dc.contributor.author | Świtońska, Milena | pl |
dc.contributor.author | Słomiński, Krzyszttof | pl |
dc.contributor.author | Kościelniak, Józef | pl |
dc.contributor.author | Sobieszak-Skura, Paulina | pl |
dc.contributor.author | Konieczna-Brazis, Magdalena | pl |
dc.contributor.author | Rowiński, Olgierd | pl |
dc.contributor.author | Opuchlik, Andrzej | pl |
dc.contributor.author | Mickielewicz, Anatol | pl |
dc.contributor.author | Szyluk, Beata | pl |
dc.contributor.author | Szczudlik, Piotr | pl |
dc.contributor.author | Kostera-Pruszczyk, Anna | pl |
dc.contributor.author | Jaworski, Maciej | pl |
dc.contributor.author | Maciąg, Rafał | pl |
dc.contributor.author | Żyłkowski, Jarosław | pl |
dc.contributor.author | Adamkiewicz, Bożena | pl |
dc.contributor.author | Szubert, Wojciech | pl |
dc.contributor.author | Chrząstek, Jarosław | pl |
dc.contributor.author | Raźniewski, Marek | pl |
dc.contributor.author | Pawelec, Agnieszka | pl |
dc.contributor.author | Wilimborek, Paweł | pl |
dc.contributor.author | Wagner, Ryszard | pl |
dc.contributor.author | Pilarski, Paweł | pl |
dc.contributor.author | Gierach, Paweł | pl |
dc.contributor.author | Baron, Jan | pl |
dc.contributor.author | Gruszka, Wojciech | pl |
dc.contributor.author | Ochudło, Stanisław | pl |
dc.contributor.author | Rudzińska-Bar, Monika - 161579 | pl |
dc.contributor.author | Zbroszczyk, Miłosz | pl |
dc.contributor.author | Smulska, Kamila | pl |
dc.contributor.author | Arkuszewski, Michał | pl |
dc.contributor.author | Różański, Dorota | pl |
dc.contributor.author | Koziorowski, Dariusz | pl |
dc.contributor.author | Meisner-Kramarz, Izabela | pl |
dc.contributor.author | Szlufik, Stanisław | pl |
dc.contributor.author | Zaczyński, Artur | pl |
dc.contributor.author | Kądziołka, Krzysztof | pl |
dc.contributor.author | Kordecki, Kazimierz | pl |
dc.contributor.author | Zawadzki, Michał | pl |
dc.contributor.author | Ząbek, Mirosław | pl |
dc.contributor.author | Karaszewski, Bartosz | pl |
dc.contributor.author | Gąsecki, Dariusz | pl |
dc.contributor.author | Łowiec, Paweł | pl |
dc.contributor.author | Dorniak, Waldemar | pl |
dc.contributor.author | Gorycki, Tomasz | pl |
dc.contributor.author | Szurowska, Edyta | pl |
dc.contributor.author | Wierzchowska-Cioch, Ewa | pl |
dc.contributor.author | Smyk, Tomasz | pl |
dc.contributor.author | Szajnoga, Beata | pl |
dc.contributor.author | Bachta, Marcin | pl |
dc.contributor.author | Mazurek, Kajetan | pl |
dc.contributor.author | Piwowarska, Magdalena | pl |
dc.contributor.author | Kociemba, Wojciech | pl |
dc.contributor.author | Drożdż, Artur | pl |
dc.contributor.author | Dąbrowski, Adrian | pl |
dc.contributor.author | Glonek, Michał | pl |
dc.contributor.author | Wawrzyniak, Małgorzata | pl |
dc.contributor.author | Kaźmierski, Radosław | pl |
dc.contributor.author | Juszkat, Robert | pl |
dc.contributor.author | Tomalski, Witold | pl |
dc.contributor.author | Heliosz, Adam | pl |
dc.contributor.author | Ryszczyk, Adam | pl |
dc.contributor.author | Zwiernik, Jacek | pl |
dc.contributor.author | Wasilewski, Grzegorz | pl |
dc.contributor.author | Tutaj, Andrzej | pl |
dc.contributor.author | Dałek, Grzegorz | pl |
dc.contributor.author | Nosek, Krzysztof | pl |
dc.contributor.author | Bereza, Sławomir | pl |
dc.contributor.author | Lubkowska, Katarzyna | pl |
dc.contributor.author | Kamienowski, Jerzy | pl |
dc.contributor.author | Sobolewski, Piotr | pl |
dc.contributor.author | Bielecki, Adam | pl |
dc.contributor.author | Miś, Maciej | pl |
dc.contributor.author | Miś, Marcin | pl |
dc.contributor.author | Krużewska-Orłowska, Maria | pl |
dc.contributor.author | Kochanowicz, Jan | pl |
dc.contributor.author | Mariak, Zenon | pl |
dc.contributor.author | Jakoniuk, Marta | pl |
dc.contributor.author | Turek, Grzegorz | pl |
dc.contributor.author | Łebkowska, Urszula | pl |
dc.contributor.author | Lewszuk, Andrzej | pl |
dc.contributor.author | Dziedzic, Tomasz - 129311 | pl |
dc.contributor.author | Popiela, Tadeusz - 133200 | pl |
dc.date.accession | 2021-02-26 | pl |
dc.date.accessioned | 2020-01-17T09:17:45Z | |
dc.date.available | 2020-01-17T09:17:45Z | |
dc.date.issued | 2017 | pl |
dc.date.openaccess | 0 | |
dc.description.accesstime | w momencie opublikowania | |
dc.description.number | 5 | pl |
dc.description.physical | 339-346 | pl |
dc.description.points | 15 | pl |
dc.description.version | ostateczna wersja wydawcy | |
dc.description.volume | 51 | pl |
dc.identifier.doi | 10.1016/j.pjnns.2017.05.004 | pl |
dc.identifier.eissn | 1897-4260 | pl |
dc.identifier.issn | 0028-3843 | pl |
dc.identifier.project | ROD UJ / OP | pl |
dc.identifier.uri | https://ruj.uj.edu.pl/xmlui/handle/item/141167 | |
dc.identifier.weblink | https://journals.viamedica.pl/neurologia_neurochirurgia_polska/article/view/61259 | pl |
dc.language | eng | pl |
dc.language.container | eng | pl |
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.en | acute stroke | pl |
dc.subject.en | treatment | pl |
dc.subject.en | mechanical thrombectomy | pl |
dc.subtype | Article | pl |
dc.title | Mechanical thrombectomy in acute stroke : five years of experience in Poland | pl |
dc.title.journal | Neurologia i Neurochirurgia Polska | pl |
dc.type | JournalArticle | pl |
dspace.entity.type | Publication |
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