Literature DB >> 29146830

Mechanical thrombectomy performs similarly in real world practice: a 2016 nationwide study from the Czech Republic.

Ondrej Volny1,2, Antonin Krajina3, Silvie Belaskova2, Michal Bar4, Petra Cimflova3,5, Roman Herzig6, Daniel Sanak7, Ales Tomek8, Martin Köcher9, Miloslav Rocek10, Radek Padr10, Filip Cihlar11, Miroslava Nevsimalova12, Lubomir Jurak13, Roman Havlicek14, Martin Kovar15, Petr Sevcik16, Vladimir Rohan16, Jan Fiksa17, Bijoy K Menon18, Robert Mikulik1,2.   

Abstract

BACKGROUND: Randomized clinical trials have proven mechanical thrombectomy (MT) to be a highly effective and safe treatment in acute stroke. The purpose of this study was to compare neurothrombectomy data from the Czech Republic (CR) with data from the HERMES meta-analysis.
METHODS: Available nationwide data for the CR from 2016 from the Safe Implementation of Treatments in Stroke-Thrombectomy (SITS-TBY) registry for patients with terminal internal carotid artery (ICA) and/or middle cerebral artery (MCA) occlusions were compared with data from HERMES. CR and HERMES patients were comparable in age, sex, and baseline National Institutes of Health Stroke Scale scores.
RESULTS: From a total of 1053 MTs performed in the CR, 845 (80%) were reported in the SITS-TBY. From these, 604 (72%) were included in this study. Occlusion locations were as follows (CR vs HERMES): ICA 22% versus 21% (P=0.16), M1 MCA 62% versus 69% (P=0.004), and M2 MCA 16% versus 8% (P<0.0001). Intravenous thrombolysis was given to 76% versus 83% of patients, respectively (P=0.003). Median onset to reperfusion times were comparable: 232 versus 285 min, respectively (P=0.66). A modified Thrombolysis in Cerebral Infarction score of 2b/3 was achieved in 74% (433/584) versus 71% (390/549) of patients, respectively (OR 1.17, 95% CI 0.90-1.5, P=0.24). There was no statistically significant difference in the percentage of parenchymalhematoma type 2 (OR 1.12, 95% CI 0.66-1.90, P=0.68). A modified Rankin Scale score of 0-2 at 3 months was achieved in 48% (184/268) versus 46% (291/633) of patients, respectively (OR 0.92, 95% CI 0.71-1.18, P=0.48).
CONCLUSIONS: Data on efficacy, safety, and logistics of MT from the CR were similar to data from the HERMES collaboration. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

Entities:  

Keywords:  stroke; thrombectomy

Mesh：

Year:  2017        PMID： 29146830     DOI： 10.1136/neurintsurg-2017-013534

Source DB:  PubMed          Journal:  J Neurointerv Surg        ISSN： 1759-8478            Impact factor:   5.836


  8 in total

1.  Metallic Hyperdensity Sign on Noncontrast CT Immediately after Mechanical Thrombectomy Predicts Parenchymal Hemorrhage in Patients with Acute Large-Artery Occlusion.

Authors:  C Xu; Y Zhou; R Zhang; Z Chen; W Zhong; X Gong; X Ding; M Lou
Journal:  AJNR Am J Neuroradiol       Date:  2019-03-07       Impact factor: 3.825

2.  Impact of the Thrombectomy Trials on the Management and Outcome of Large Vessel Stroke: Data From the Lyon Stroke Center.

Authors:  Louis Viannay; Julie Haesebaert; Fannie Florin; Roberto Riva; Laura Mechtouff; Benjamin Gory; Elodie Ong; Paul-Emile Labeyrie; Laurent Derex; Marc Hermier; Leila Chamard; Lise-Prune Berner; Roxana Ameli; Yves Berthezène; Francis Turjman; Norbert Nighoghossian; Tae-Hee Cho
Journal:  Front Neurol       Date:  2018-08-28       Impact factor: 4.003

3.  Acute Endovascular Treatment of Patients With Ischemic Stroke From Intracranial Large Vessel Occlusion and Extracranial Carotid Dissection.

Authors:  Kars C J Compagne; R B Goldhoorn; Maarten Uyttenboogaart; Robert J van Oostenbrugge; Wim H van Zwam; Pieter J van Doormaal; Diederik W J Dippel; Aad van der Lugt; Bart J Emmer; Adriaan C G M van Es
Journal:  Front Neurol       Date:  2019-02-19       Impact factor: 4.003

4.  Urgent Middle Cerebral Artery Embolectomy of Calcified Embolus After Intravenous Thrombolysis: 2-Dimensional Operative Video.

Authors:  Jiri Fiedler; Svatopluk Ostry; Martin Bombic; Ludek Sterba; Petr Kostal
Journal:  Oper Neurosurg (Hagerstown)       Date:  2019-08-01       Impact factor: 2.703

5.  Endovascular Thrombectomy Versus Bridging Thrombolysis: Real-World Efficacy and Safety Analysis Based on a Nationwide Registry Study.

Authors:  Chang Geng; Sheng-De Li; Ding-Ding Zhang; Lin Ma; Guo-Wei Liu; Li-Qun Jiao; Jian-Min Liu; Wen-Huo Chen; Wu-Sheng Zhu; Chang-Ming Wen; Bin Peng
Journal:  J Am Heart Assoc       Date:  2021-01-26       Impact factor: 5.501

6.  Mechanical Thrombectomy in Stroke. Experience from Switching from Stent Retriever Only to Stent Retriever Combined with Aspiration Catheter.

Authors:  Grzegorz Meder; Paweł Żuchowski; Wojciech Skura; Violetta Palacz-Duda; Milena Świtońska; Magdalena Nowaczewska; Paweł Sokal
Journal:  J Clin Med       Date:  2021-04-21       Impact factor: 4.241

7.  Between-Center Variation in Outcome After Endovascular Treatment of Acute Stroke: Analysis of Two Nationwide Registries.

Authors:  Paula M Janssen; Katrine van Overhagen; Jan Vinklárek; Bob Roozenbeek; H Bart van der Worp; Charles B Majoie; Michal Bar; David Černík; Roman Herzig; Lubomir Jurák; Svatopluk Ostrý; Robert Mikulik; Hester F Lingsma; Diederik W J Dippel
Journal:  Circ Cardiovasc Qual Outcomes       Date:  2022-01-31

8.  Thrombectomy vs medical management in low NIHSS acute anterior circulation stroke.

Authors:  Ondrej Volny; Charlotte Zerna; Ales Tomek; Michal Bar; Miloslav Rocek; Radek Padr; Filip Cihlar; Miroslava Nevsimalova; Lubomir Jurak; Roman Havlicek; Martin Kovar; Petr Sevcik; Vladimir Rohan; Jan Fiksa; David Cernik; Rene Jura; Daniel Vaclavik; Petra Cimflova; Josep Puig; Dar Dowlatshahi; Alexander V Khaw; Enrico Fainardi; Mohamed Najm; Andrew M Demchuk; Bijoy K Menon; Robert Mikulik; Michael D Hill
Journal:  Neurology       Date:  2020-09-28       Impact factor: 9.910
  8 in total

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