Format

Send to

Choose Destination
  • Showing results for a modified search because your search retrieved no results.
Neurol Neurochir Pol. 2017 Sep - Oct;51(5):339-346. doi: 10.1016/j.pjnns.2017.05.004. Epub 2017 Jul 5.

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

Polish Thrombectomy Initiative, Słowik A1, Wnuk M2, Brzegowy P3, Chrzanowska-Waśko J4, Golenia A5, Łasocha B6, Włoch-Kopeć D7, Ferens A8, Serednicki W9, Jarocki P10, Bartosik-Psujek H11, Kaczorowski R12, Filip E13, Grzegorzak M14, Homa J15, Darocha J16, Dudek D17, Guz W18, Rejdak K19, Luchowski P20, Wojczal J21, Sojka M22, Górnik M23, Stachowicz S24, Jaworski J25, Buraczyńska K26, Ficek R27, Szczepańska-Szerej A28, Jargiełło T29, Szczerbo-Trojanowska M30, Lasek-Bal A31, Puz P32, Warsz-Wianecka A33, Stęposz A34, Ziaja K35, Kuczmik W35, Urbanek T35, Ziaja D35, Tomalski W35, Kobayashi A36, Richter P37, Płoński A38, Kotkowski M39, Czepiel W40, Kurkowska-Jastrzębska I41, Sienkiewicz-Jarosz H42, Członkowska A43, BłażejewskaHyżorek B44, Ryglewicz D45, Konopko M46, Brelak E47, Antecki J48, Szydłowski I49, Włosek M50, Stępień A51, Brzozowski K52, Staszewski J53, Piasecki P54, Zięcina P55, Wołoszyńska I56, Kolmaga N57, Narloch J58, Hasiec T59, Gawłowicz J60, Pędracka M61, Porębiak J62, Grzechnik B63, Matsibora V64, Frąszczak M65, Leus M66, Mazgaj M67, Palacz-Duda V68, Meder G69, Skura W70, Płeszka P71, Świtońska M72, Słomiński K73, Kościelniak J74, Sobieszak-Skura P75, Konieczna-Brazis M76, Rowiński O77, Opuchlik A78, Mickielewicz A79, Szyluk B80, Szczudlik P81, Kostera-Pruszczyk A82, Jaworski M83, Maciąg R84, Żyłkowski J85, Adamkiewicz B86, Szubert W87, Chrząstek J88, Raźniewski M89, Pawelec A90, Wilimborek P91, Wagner R92, Pilarski P93, Gierach P94, Baron J95, Gruszka W96, Ochudło S97, Krzak-Kubica A98, Rudzińska-Bar M99, Zbroszczyk M100, Smulska K101, Arkuszewski M102, Różański D103, Koziorowski D104, Meisner-Kramarz I105, Szlufik S106, Zaczyński A107, Kądziołka K108, Kordecki K109, Zawadzki M110, Ząbek M111, Karaszewski B112, Gąsecki D113, Łowiec P114, Dorniak W115, Gorycki T116, Szurowska E117, Wierzchowska-Cioch E118, Smyk T119, Szajnoga B120, Bachta M121, Mazurek K122, Piwowarska M123, Kociemba W124, Drużdż A125, Dąbrowski A126, Glonek M127, Wawrzyniak M128, Kaźmierski R129, Juszkat R130, Tomalski W131, Heliosz A132, Ryszczyk A133, Zwiernik J134, Wasilewski G135, Tutaj A136, Dałek G137, Nosek K138, Bereza S139, Lubkowska K140, Kamienowski J141, Sobolewski P142, Bielecki A143, Miś M144, Miś M145, Krużewska-Orłowska M146, Kochanowicz J147, Mariak Z148, Jakoniuk M149, Turek G150, Łebkowska U151, Lewszuk A152, Kordecki K152, Dziedzic T153, Popiela T154.

Author information

1
Jagiellonian University, Poland. Electronic address: slowik@cm-uj.krakow.pl.
2
Jagiellonian University, Poland. Electronic address: marcin.a.wnuk@gmail.com.
3
Jagiellonian University, Poland. Electronic address: pbrzegowy@poczta.onet.pl.
4
Jagiellonian University, Poland. Electronic address: wasko.joanna@gmail.com.
5
Jagiellonian University, Poland. Electronic address: agolenia@gmail.com.
6
The University Hospital in Cracow, Poland. Electronic address: blasocha@su.krakow.pl.
7
Jagiellonian University, Poland. Electronic address: dwdw@interia.pl.
8
The University Hospital in Cracow, Poland. Electronic address: antoniferens@wp.pl.
9
Jagiellonian University, Poland. Electronic address: w.serednicki@hotmail.com.
10
Jagiellonian University, Poland. Electronic address: piotr.jarocki@uj.edu.pl.
11
Medical Faculty University of Rzeszów, Poland. Electronic address: bartosikpsujek@op.pl.
12
Clinical Voivodeship Hospital, No. 2 Rzeszów, Poland. Electronic address: rrkaczorowski@gmail.com.
13
Clinical Voivodeship Hospital, No. 2, Rzeszów, Poland. Electronic address: edwardfilip@interia.pl.
14
Clinical Voivodeship Hospital, No. 2, Rzeszów, Poland. Electronic address: monibac@wp.pl.
15
Clinical Voivodeship Hospital, No. 2 Rzeszów, Poland. Electronic address: jarek.homa@gmail.com.
16
Clinical Voivodeship Hospital, No. 2 Rzeszów, Poland. Electronic address: jdarocha@wp.pl.
17
Clinical Voivodeship Hospital, No. 2 Rzeszów, Poland. Electronic address: aniaidaniel@poczta.fm.
18
Medical Faculty University of Rzeszów, Poland. Electronic address: wguz@op.pl.
19
Medical University of Lublin, Poland. Electronic address: konradrejdak@umlub.pl.
20
Medical University of Lublin, Poland. Electronic address: pluchowski@wp.pl.
21
Medical University of Lublin, Poland. Electronic address: Joanna.wojczal@poczta.onet.pl.
22
Medical University of Lublin, Poland. Electronic address: michalsojka@op.pl.
23
Independent Public Clinical Hospital, Lublin, Poland. Electronic address: mst@radiology.com.pl.
24
Medical University of Lublin, Poland. Electronic address: sstachowicz@wp.pl.
25
Medical University of Lublin, Poland. Electronic address: jjawor@onet.eu.
26
Medical University of Lublin, Poland. Electronic address: kinga_bur@yahoo.com.
27
Medical University of Lublin, Poland. Electronic address: remek.ficek@gmail.com.
28
Medical University of Lublin, Poland. Electronic address: szerej@poczta.onet.pl.
29
Medical University of Lublin, Poland. Electronic address: tojarg@interia.pl.
30
Medical University of Lublin, Poland. Electronic address: mst@radiology.com.pl.
31
Medical University of Silesia, Poland. Electronic address: alasek@gmail.com.
32
Medical University of Silesia, Poland. Electronic address: ppuz@o2.pl.
33
Medical University of Silesia, Poland. Electronic address: aljar@op.pl.
34
Medical University of Silesia, Poland. Electronic address: arkadiusz.steposz@gmail.com.
35
Medical University of Silesia, Poland. Electronic address: chirurgia@gcm.pl.
36
Institute of Psychiatry and Neurology of Warsaw, Poland. Electronic address: akobayas@ipin.edu.pl.
37
Institute of Psychiatry and Neurology of Warsaw, Poland. Electronic address: richter@ipin.edu.pl.
38
Medical University of Warsaw, Poland. Electronic address: andrzejplonski@onet.eu.
39
Institute of Psychiatry and Neurology of Warsaw, Poland. Electronic address: marcin.kotkowski@gmail.com.
40
Institute of Psychiatry and Neurology of Warsaw, Poland. Electronic address: wojczep@mp.pl.
41
Institute of Psychiatry and Neurology of Warsaw, Poland. Electronic address: ikurkowska@ipin.edu.pl.
42
Institute of Psychiatry and Neurology of Warsaw, Poland. Electronic address: jarosz@ipin.edu.pl.
43
Institute of Psychiatry and Neurology of Warsaw, Poland. Electronic address: czlonkow@ipin.edu.pl.
44
Institute of Psychiatry and Neurology of Warsaw, Poland. Electronic address: hyzorek@ipin.edu.pl.
45
Institute of Psychiatry and Neurology of Warsaw, Poland. Electronic address: ryglew@ipin.edu.pl.
46
Institute of Psychiatry and Neurology of Warsaw, Poland. Electronic address: mrestel@ipin.edu.pl.
47
Voivodeship Integrated Hospital in Kielce, Poland. Electronic address: ebrelak11@wp.pl.
48
Voivodeship Integrated Hospital in Kielce, Poland. Electronic address: jacek.antecki@gmail.com.
49
Voivodeship Integrated Hospital in Kielce, Poland. Electronic address: igorszydlowski@o2.pl.
50
Voivodeship Integrated Hospital in Kielce, Poland. Electronic address: magmisz68@gmail.com.
51
Military Institute of Medicine, Poland. Electronic address: astepien@wim.mil.pl.
52
Military Institute of Medicine, Poland. Electronic address: k.brzoza@wp.pl.
53
Military Institute of Medicine, Poland. Electronic address: jacekstaszewski@wp.pl.
54
Military Institute of Medicine, Poland. Electronic address: ppiasecki@wim.mil.pl.
55
Military Institute of Medicine, Poland. Electronic address: ppziecina@wim.mil.pl.
56
Military Institute of Medicine, Poland. Electronic address: izagorczyca@op.pl.
57
Military Institute of Medicine, Poland. Electronic address: nkolmaga@gmail.com.
58
Military Institute of Medicine, Poland. Electronic address: jnarloch@wim.mil.pl.
59
State Specialistic Hospital in Lublin, Poland. Electronic address: thasiec@wp.pl.
60
State Specialistic Hospital in Lublin, Poland. Electronic address: gawlowiczj@wp.pl.
61
State Specialistic Hospital in Lublin, Poland. Electronic address: monika.ped.neu@wp.pl.
62
State Specialistic Hospital in Lublin, Poland. Electronic address: porebiak@op.pl.
63
State Specialistic Hospital in Lublin, Poland. Electronic address: bogumilgr@gmail.com.
64
State Specialistic Hospital in Lublin, Poland. Electronic address: vadym.matsibora@gmail.com.
65
State Specialistic Hospital in Lublin, Poland. Electronic address: fraszczakmichal@gmail.com.
66
State Specialistic Hospital in Lublin, Poland. Electronic address: leusmedart@gmail.com.
67
State Specialistic Hospital in Lublin, Poland. Electronic address: maciejmazgaj@gmail.com.
68
Stroke Intervention Treatment Center, Department of Neurology, University Hospital, No 2, Bydgoszcz, Poland. Electronic address: violkapduda1@tlen.pl.
69
Department of Interventional Radiology, University Hospital, No 2, Bydgoszcz, Poland. Electronic address: grzegorz.meder@gmail.com.
70
Department of Interventional Radiology, University Hospital, No 2, Bydgoszcz, Poland. Electronic address: wojciechskura@wp.pl.
71
Stroke Intervention Treatment Center, Department of Neurology, University Hospital, No 2, Bydgoszcz, Poland. Electronic address: pio.ple@wp.pl.
72
Stroke Intervention Treatment Center, Department of Neurology, University Hospital, No 2, Bydgoszcz, Poland. Electronic address: mil.s@onet.pl.
73
Stroke Intervention Treatment Center, Department of Neurology, University Hospital, No 2, Bydgoszcz, Poland. Electronic address: kslominski@tlen.pl.
74
Stroke Intervention Treatment Center, Department of Neurology, University Hospital, No 2, Bydgoszcz, Poland. Electronic address: joseph_kos@wp.pl.
75
Stroke Intervention Treatment Center, Department of Neurology, University Hospital, No 2, Bydgoszcz, Poland. Electronic address: begam@interia.pl.
76
Stroke Intervention Treatment Center, Department of Neurology, University Hospital, No 2, Bydgoszcz, Poland. Electronic address: mpbrazis@wp.pl.
77
Medical University of Warsaw, Poland. Electronic address: olgierd.rowinski@wum.edu.pl.
78
Medical University of Warsaw, Poland. Electronic address: andrzej.opuchlik@wum.edu.pl.
79
Medical University of Warsaw, Poland. Electronic address: lotan@o2.pl.
80
Medical University of Warsaw, Poland. Electronic address: beata.szyluk@wum.edu.pl.
81
Medical University of Warsaw, Poland. Electronic address: piotr.szczudlik@wum.edu.pl.
82
Medical University of Warsaw, Poland. Electronic address: akostera@wum.edu.pl.
83
Medical University of Warsaw, Poland. Electronic address: jaworskm1@gmail.com.
84
Medical University of Warsaw, Poland. Electronic address: rafmac73@gmail.com.
85
Medical University of Warsaw, Poland. Electronic address: jaroslaw.zylkowski@wum.edu.pl.
86
Copernicus Memorial Hospital in Lodz Comprehensive Cancer Center and Traumatology, Poland. Electronic address: b.adamkiewicz@kopernik.lodz.pl.
87
Copernicus Memorial Hospital in Lodz Comprehensive Cancer Center and Traumatology, Poland. Electronic address: szubertw@gmail.com.
88
Copernicus Memorial Hospital in Lodz Comprehensive Cancer Center and Traumatology, Poland. Electronic address: jaroslaw.chrzastek@office365.umed.pl.
89
Copernicus Memorial Hospital in Lodz Comprehensive Cancer Center and Traumatology, Poland. Electronic address: razniewski.m@gmail.com.
90
Copernicus Memorial Hospital in Lodz Comprehensive Cancer Center and Traumatology, Poland. Electronic address: apawcia@go2.pl.
91
Copernicus Memorial Hospital in Lodz Comprehensive Cancer Center and Traumatology, Poland. Electronic address: pawelwilimborek@gmail.com.
92
Copernicus Memorial Hospital in Lodz Comprehensive Cancer Center and Traumatology, Poland. Electronic address: r_wagner@wp.pl.
93
Copernicus Memorial Hospital in Lodz Comprehensive Cancer Center and Traumatology, Poland. Electronic address: pilot-7@wp.pl.
94
Copernicus Memorial Hospital in Lodz Comprehensive Cancer Center and Traumatology, Poland. Electronic address: gierachpawel@wp.pl.
95
Medical University of Silesia, Poland. Electronic address: janb@onet.pl.
96
Medical University of Silesia, Poland. Electronic address: wojtekgruszka@yahoo.com.
97
Medical University of Silesia, Poland.
98
Medical University of Silesia, Poland. Electronic address: agukrzak@gmail.com.
99
Medical University of Silesia, Poland. Electronic address: mrudzinska@sum.edu.pl.
100
Department of Radiodiagnostic and Invasive Radiology, The University Clinical Centre, Medical University of Silesia, Poland. Electronic address: miloszz@wp.pl.
101
Department of Radiodiagnostic and Invasive Radiology, The University Clinical Centre, Medical University of Silesia, Poland. Electronic address: kamilasmulska@interia.pl.
102
Department of Neurology, Medical University of Silesia, Poland.
103
Department of Neurology, Faculty of Health Science, Medical University of Warsaw, Poland. Electronic address: dvd@mail.com.
104
Department of Neurology, Faculty of Health Science, Medical University of Warsaw, Poland. Electronic address: dkoziorowski@esculap.pl.
105
Department of Neurology, Faculty of Health Science, Medical University of Warsaw, Poland. Electronic address: iza.meisner@gmail.com.
106
Department of Neurology, Faculty of Health Science, Medical University of Warsaw, Poland. Electronic address: stanislaw.szlufik@gmail.com.
107
Department of Neurosurgery, Centre of Postgaduate Medical Education, Warszawa, Poland. Electronic address: azaczynski@wp.pl.
108
Department of Neurosurgery, Centre of Postgaduate Medical Education, Warszawa, Poland. Electronic address: kadziolkabart@gmail.com.
109
Department of Neurosurgery, Centre of Postgaduate Medical Education, Warszawa, Poland. Electronic address: k.kordecki@tlen.pl.
110
Department of Neurosurgery, Centre of Postgaduate Medical Education, Warszawa, Poland. Electronic address: mzawpl@gmail.com.
111
Department of Neurosurgery, Centre of Postgaduate Medical Education, Warszawa, Poland. Electronic address: zabek.cmc@gmail.com.
112
Department of Adult Neurology, Medical University of Gdansk & University Clinical Centre in Gdansk, Poland. Electronic address: bartkar@gumed.edu.pl.
113
Department of Adult Neurology, Medical University of Gdansk & University Clinical Centre in Gdansk, Poland. Electronic address: dgasecki@gumed.edu.pl.
114
Department of Adult Neurology, Medical University of Gdansk & University Clinical Centre in Gdansk, Poland. Electronic address: pawel.lowiec@gmail.com.
115
Department of Adult Neurology, Medical University of Gdansk & University Clinical Centre in Gdansk, Poland. Electronic address: waldemar.dorniak@gmail.com.
116
Department of Radiology, Medical University of Gdansk, Poland. Electronic address: tgor@gumed.edu.pl.
117
2 nd Department of Radiology, Medical University of Gdansk, Poland. Electronic address: eszurowska@gumed.edu.pl.
118
Voivodeship Public Hospital, Zamość, Poland. Electronic address: ciochewa@gmail.com.
119
Voivodeship Public Hospital, Zamość, Poland. Electronic address: tosmyk@gmail.com.
120
Voivodeship Public Hospital, Zamość, Poland. Electronic address: bs.beataszajnoga@gmail.com.
121
Voivodeship Public Hospital, Zamość, Poland. Electronic address: marcinbachta88@wp.pl.
122
Voivodeship Public Hospital, Zamość, Poland. Electronic address: kajetan.mazurek@gmail.com.
123
Voivodeship Public Hospital, Zamość, Poland. Electronic address: magda-kuczek@wp.pl.
124
Neuroradiology, Department University of Medical Sciences in Poznan, Poland. Electronic address: wkociemba@wp.pl.
125
Multidisciplinary Municipal Hospital, Poznań, Poland. Electronic address: sekretariat_neurologia@szpital-strusia.poznan.pl.
126
Multidisciplinary Municipal Hospital, Poznań, Poland. Electronic address: adriandabrowski1@gmail.com.
127
Voivodeship Specialistic Neuropsychiatric Complex, Opole, Poland. Electronic address: m.c.glonek@wp.pl.
128
Voivodeship Specialistic Neuropsychiatric Complex, Opole, Poland. Electronic address: sekretariat@wszn.opole.pl.
129
Department of Neurology and Cerebrovascular Disorders, Poznan University of Medical Sciences, Poland. Electronic address: rkazmierski@ump.edu.pl.
130
Department of General and Interventional Radiology, Poznan University of Medical Sciences, Poland. Electronic address: robertju@wp.pl.
131
Voivodeship Hospital, No 2, Jastrzębie Zdrój, Poland. Electronic address: witektomalski@o2.pl.
132
Voivodeship Hospital, No 2, Jastrzębie Zdrój, Poland. Electronic address: adamh@autograf.pl.
133
Voivodeship Hospital, No 2, Jastrzębie Zdrój, Poland. Electronic address: szpital@wss2.pl.
134
University of Warmia and Mazury in Olsztyn, Faculty of Medical Sciences, Department of Neurology and Neurosurgery, Poland. Electronic address: jacekzwiernik@wp.pl.
135
Voivodeship Specialist Hospital in Olsztyn, Poland. Electronic address: grzegorz.wasilewski.ol@wp.pl.
136
Voivodeship Specialist Hospital in Olsztyn, Poland. Electronic address: tutajandrzej@poczta.onet.pl.
137
Voivodeship Specialist Hospital in Olsztyn, Poland. Electronic address: gdalek@gmail.com.
138
Voivodeship Specialist Hospital in Olsztyn, Poland. Electronic address: hnnh@wp.pl.
139
The Lowersilesian Specialistic Hospital, Wrocław, Poland. Electronic address: slawomir.bereza@gmail.com.
140
The Lowersilesian Specialistic Hospital, Wrocław, Poland. Electronic address: k.lubkowska@interia.pl.
141
The Lowersilesian Specialistic Hospital, Wrocław, Poland. Electronic address: szpital_marciniaka@pro.onet.pl.
142
Jan Kochanowski University Kielce, Poland. Electronic address: piotrsobolewski@poczta.onet.pl.
143
Hospital in Sandomierz, Poland. Electronic address: szpital@sand.pl.
144
University Hospital in Wrocław, Poland. Electronic address: mis.maciej@gmail.com.
145
University Hospital in Wrocław, Poland. Electronic address: marcin.mis@gmail.com.
146
Specialistic Hospital in Wałbrzych, Poland. Electronic address: szpitalsokolowski@zdrowie.walbrzych.pl.
147
Medical University of Bialystok, Poland. Electronic address: kochanowicz@vp.pl.
148
Medical University of Bialystok, Poland. Electronic address: zmariak@umbwb.edu.pl.
149
Medical University of Bialystok, Poland. Electronic address: jakoniukmarta@gmail.com.
150
Medical University of Bialystok, Poland. Electronic address: turek.grz@gmail.com.
151
Medical University of Bialystok, Poland. Electronic address: radiol@umbwb.edu.pl.
152
Medical University of Bialystok, Poland. Electronic address: radiol@umb.edu.pl.
153
Jagiellonian University, Poland. Electronic address: dziedzic@cm-uj.krakow.pl.
154
Jagiellonian University, Poland. Electronic address: msjpopie@cyf-kr.edu.pl.

Abstract

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±99min. 90.3% of the studied patients had MT within 6h 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.

KEYWORDS:

Acute stroke; Mechanical thrombectomy; Treatment

PMID:
28756015
DOI:
10.1016/j.pjnns.2017.05.004
[Indexed for MEDLINE]

Supplemental Content

Loading ...
Support Center