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THE ESTIMATED DEMAND FOR MECHANICAL THROMBECTOMY IN PATIENTS WITH ACUTE ISCHEMIC STROKE IN THE CAROTID POOL

https://doi.org/10.17650/1683-3295-2018-20-1-109-113

Abstract

Objective is to compare the annual demand for implementing mechanical thrombectomy (MT) in patients with acute ischemic stroke in the carotid pool, calculated in accordance with the current guidelines and criteria, which developed at the Interregional Clinical Diagnostic Center in Kazan (ICDC).

Materials and methods. The analysis of 851 case histories of patients with acute ischemic stroke, hospitalized at the ICDC, was carried out. The calculation of the implementing MT demand in the selection of patients according to current guidelines and criteria developed at the ICDC was performed.

Results. Annual demand for the implementing MT, calculated according to current guidelines is 14 operations per 100 thousand people per year. When applying the selection criteria developed in the ICDC, the annual demand is 9 operations per 100 thousand people.

Conclusion. The estimated demand for MT in acute ischemic stroke in the carotid pool depends on the criteria for selection of patients.

About the Authors

M. Yu. Volodyukhin
Interregional Clinical Diagnostic Center
Russian Federation
12a Karbysheva St., Kazan 420101


D. R. Khasanova
Interregional Clinical Diagnostic Center
Russian Federation
12a Karbysheva St., Kazan 420101


T. V. Dyomin
Interregional Clinical Diagnostic Center
Russian Federation
12a Karbysheva St., Kazan 420101


M. V. Saykhunov
Interregional Clinical Diagnostic Center
Russian Federation
12a Karbysheva St., Kazan 420101


R. N. Khayrullin
Interregional Clinical Diagnostic Center
Russian Federation
12a Karbysheva St., Kazan 420101


References

1. Kimberly W.T., Dutra B.G., Boers A.M.M. et al. Association of reperfusion with brain edema in patients with acute ischemic stroke: a secondary analysis of the MR CLEAN trial. JAMA Neurol 2018; Jan 24. DOI: 10.1001/jamaneurol.2017.5162. PMID: 29365017.

2. Brigdan M., Hill M.D., Jagdev A., Kamal N. Novel interactive data visualization: exploration of the ESCAPE Trial (Endovascular Treatment for Small Core and Anterior Circulation Proximal Occlusion with Emphasis on Minimizing CT to Recanalization Times) data. Stroke 2018;49(1):193–6. DOI: 10.1161/STROKEAHA.117.018814. PMID: 29203689.

3. Campbell B.C.V., Mitchell P.J., Churilov L. et al. Endovascular thrombectomy for ischemic stroke increases disability-free survival, quality of life, and life expectancy and reduces cost. Front Neurol 2017;8:657. DOI: 10.3389/fneur.2017.00657. PMID: 29312109. PMCID: PMC5735082.

4. Menjot de Champfleur N., Saver J.L., Goyal M. et al. Efficacy of stent-retriever thrombectomy in magnetic resonance imaging versus computed tomographic perfusion-selected patients in SWIFT PRIME Trial (Solitaire FR With the Intention for Thrombectomy as Primary Endovascular Treatment for Acute Ischemic Stroke). Stroke 2017;48(6):1560–6. DOI: 10.1161/STROKEAHA. 117.016669. PMID: 28465460.

5. Dávalos A., Cobo E., Molina C.A. et al. Safety and efficacy of thrombectomy in acute ischaemic stroke (REVASCAT): 1-year follow-up of a randomised open-label trial. Lancet Neurol 2017;16(5):369–76. DOI: 10.1016/S1474-4422(17)30047-9.

6. Савелло А.В., Вознюк И.А., Свистов Д.В. Внутрисосудистое лечение ишемического инсульта в острейшем периоде (клинические рекомендации). СПб., 2015. 36 с. [Savello A.V., Voznyuk I.A., Svistov D.V. Intravascular treatment of acute ischemic stroke (clinical recommendations). Saint-Petersburg, 2015. 36 p. (In Russ.)].

7. Jayaraman M.V., Hussain M.S., Abruzzo T. et al. Embolectomy for stroke with emergent large vessel occlusion (ELVO): report of the Standards and Guidelines Committee of the Society of Neurointerventional Surgery. J Neurointerv Surg 2015;7(5):316–21. DOI: 10.1136/neurintsurg-2015-011717. PMID: 25765949.

8. Powers W.J., Derdeyn C.P., Biller J. et al. 2015 American Heart Association / American Stroke Association Focused Update of the 2013 Guidelines for the Early Management of Patients with Acute Ischemic Stroke Regarding Endovascular Treatment: A Guideline for Healthcare Professionals from the American Heart Association / American Stroke Association. Stroke 2015;46(10):3020–35. DOI: 10.1161/STR.0000000000000074. PMID: 26123479.

9. Володюхин М.Ю., Хасанова Д.Р., Дёмин Т.В. и др. Внутриартериальная реперфузионная терапия у пациентов с острым ишемическим инсультом. Медицинский совет 2015;(10):6–11. [Volodyukhin M.Yu., Khasanova D.R., Dyomin T.V. et al. Intra-arterial reperfusion therapy at patients with acute ischemic stroke. Meditsinskiy sovet = Medical Council 2015;(10):6–11. (In Russ.)]. DOI: 10.21518/2079-701X2015-10-4-5.

10. Rai A.T. Red pill, blue pill: reflection son the emerging large vessel stroke “market”. J Neurointerv Surg 2015;7(9):623–5. DOI: 10.1136/neurintsurg-2015-011971. PMID: 26271026.

11. Chia N.H., Leyden J.M., Newbury J. et al. Determining the number of ischemic strokes potentially eligible for endovascular thrombectomy: a population based study. Stroke 2016;47(5):1377–80. DOI: 10.1161/STROKEAHA.116.013165. PMID: 26987869.

12. DAWN: Thrombectomy effective up to 24 hours after stroke. 3rd European Stroke Organization Conference (ESOC) 2017. Session PL01. Medscape Medical News 2017; May 17.


Review

For citations:


Volodyukhin M.Yu., Khasanova D.R., Dyomin T.V., Saykhunov M.V., Khayrullin R.N. THE ESTIMATED DEMAND FOR MECHANICAL THROMBECTOMY IN PATIENTS WITH ACUTE ISCHEMIC STROKE IN THE CAROTID POOL. Russian journal of neurosurgery. 2018;20(1):109-113. (In Russ.) https://doi.org/10.17650/1683-3295-2018-20-1-109-113

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ISSN 1683-3295 (Print)
ISSN 2587-7569 (Online)
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