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Interdisciplinary cooperation for a maximum acceleration of availability of modern therapy for ischemic stroke for all patients in need of endovascular thrombectomy


Authors: Petr Widimský 1;  Ivana Štětkářová 2;  Hana Malíková 3
Authors‘ workplace: III. interní – kardiologická klinika 3. LF UK a FN Královské Vinohrady, Praha 1;  Neurologická klinika 3. LF UK a FN Královské Vinohrady, Praha 2;  Radiodiagnostická klinika 3. LF UK a FN Královské Vinohrady, Praha 3
Published in: Vnitř Lék 2019; 65(10): 606-609
Category:

Overview

Catheter-based (endovascular) thrombectomy is class I.A indication for the treatment of acute ischemic stroke. However, its availability in most countries is extremely low due to the lack of trained staff. Even the countries with best stroke services (e.g. Czech Republic) currently treat only one third of patients, who would be indicated to such therapy and in many countries the treatment simply is not available. It is estimated, that on the European level only 10% of the suitable patients are currently treated. This review manuscript is written by representatives of the three main specializations dealing with acute ischemic stroke treatment and prevention: a neurologist, a radiologist and a cardiologist. The aim is to demonstrate, that only close interdisciplinary cooperation may improve the outcomes of this devastating disease.

Keywords:

acute ischemic stroke – endovascular thrombectomy – interdisciplinary cooperation


Sources
  1. [European Heart Network]. European cardiovascular disease statistics. European Heart Network: Brussels 2017. Dostupné z WWW: <http://www.ehnheart.org/cvd-statistics.html>.
  2. Townsend N, Wilson L, Bhatnagar P et al. Cardiovascular disease in Europe: epidemiological update 2016. Eur Heart J 2016; 37(42): 3232–3245. Dostupné z DOI: <http://dx.doi.org/10.1093/eurheartj/ehw334>.
  3. Feigin VL, Lawes CM, Bennett DA et al. Worldwide stroke incidence and early case fatality reported in 56 population-based studies: a systematic review. Lancet Neurol 2009; 8(4): 355–369. Dostupné z DOI: <http://dx.doi.org/10.1016/S1474–4422(09)70025–0>.
  4. Heuschmann PU, Wiedmann S, Wellwood I et al. Three month stroke outcome: the European Registers of Stroke (EROS) investigators. Neurology 2011; 76(2): 159–165. Dostupné z DOI: <http://dx.doi.org/10.1212/WNL.0b013e318206ca1e>.
  5. Truelsen T, Piechowski-Jozwiak B, Bonita R et al. Stroke incidence and prevalence in Europe: a review of available data. Eur J Neurol 2006; 13(6): 581–598. Dostupné z DOI: <http://dx.doi.org/10.1111/j.1468–1331.2006.01138.x>.
  6. Sardar P, Chatterjee S, Giri J et al. Endovascular therapy for acute ischaemic stroke: a systematic review and meta-analysis of randomized trials. Eur Heart J 2015; 36(35): 2373–2380. Dostupné z DOI: <http://dx.doi.org/10.1093/eurheartj/ehv270>.
  7. Powers WJ, Rabinstein AA, Ackerson T et al. [American Heart Association Stroke Council]. 2018 Guidelines for the Early Management of Patients With Acute Ischemic Stroke: A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association. Stroke 2018; 49(3): e46-e110. Dostupné z DOI: <http://dx.doi.org/10.1161/STR.0000000000000158>.
  8. Casaubon LK, Boulanger JM, Blacquiere D et al. [Heart and Stroke Foundation of Canada Canadian Stroke Best Practices Advisory Committe]. Canadian Stroke Best Practice Recommendations: Hyperacute Stroke Care Guidelines, Update 2015. Int J Stroke 2015; 10(6): 924–940. Dostupné z DOI: <http://dx.doi.org/10.1111/ijs.12551>.
  9. Wahlgren N, Moreira T, Michel P et al. [ESO-KSU, ESO, ESMINT, ESNR and EAN]. Mechanical thrombectomy in acute ischemic stroke: Consensus statement by ESO-Karolinska Stroke Update 2014/2015, supported by ESO, ESMINT, ESNR and EAN. Int J Stroke 2016; 11(1): 134–147. Dostupné z DOI: <http://dx.doi.org/10.1177/1747493015609778>.
  10. McMeekin P, White P, James MA et al. Estimating the number of UK stroke patients eligible for endovascular thrombectomy. Eur Stroke J 2017; 2(4): 319–326. Dostupné z DOI: <http://dx.doi.org/10.1177/2396987317733343>.
  11. De Sousa DA, von Martial R, Abilleira S et al. [ESO ESMINT EAN SAFE Survey on Stroke Care collaborators]. Access to and delivery of acute ischaemic stroke treatments: A survey of national scientific societies and stroke experts in 44 European countries. Eur Stroke J 2019; 4(1): 13–28. Dostupné z DOI: <https://journals.sagepub.com/doi/full/10.1177/2396987318786023>.
  12. Lavine SD, Cockroft K, Hoh B et al. Training Guidelines for Endovascular Stroke Intervention: An International Multi-Society Consensus Document. Interv Neurol 2016; 5(1–2): 51–56. Dostupné z DOI: <http://dx.doi.org/10.1159/000444945>.
  13. Widimsky P, Doehner W, Diener HC et al. [ESC Council on Stroke]. The role of cardiologists in stroke prevention and treatment: position paper of the European Society of Cardiology Council on Stroke. Eur Heart J 2018; 39(17): 1567–1573. Dostupné z DOI: <http://dx.doi.org/10.1093/eurheartj/ehx478>.
Labels
Diabetology Endocrinology Internal medicine
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