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Should Cardiologists Be Performing Stroke Thrombectomy?


April 08, 2021
It’s possible to start a successful stroke thrombectomy program in an experienced cardiac cath lab when cardiologists, neurologists, and radiologists work together closely, the experience at a single center in Prague, Czech Republic, suggests.
In the 7 years after the program launched, the team achieved outcomes similar to those seen in randomized trials conducted at experienced stroke thrombectomy centers, lead author Jakub Sulženko, MD, PhD (Charles University and University Hospital Kralovske Vinohrady), and colleagues report.
A good functional outcome defined as a modified Rankin Scale (mRS) score of 0 to 2 at 90 days was observed in 47.9% of patients, right around the 46% rate from a meta-analysis of five randomized stroke thrombectomy trials. There did not appear to be a learning curve. ....

New York , United States , United Kingdom , Czech Republic , Kralovske Vinohrady , Marius Hornung , Horst Sievert , Petr Widimsk , Jakub Sul , Society Of Neurointerventional Surgery , European Association Of Percutaneous Cardiovascular Interventions , European Society Of Cardiology Council On Stroke , Cardiovascular Center Frankfurt , Md Mount Sinai Health System , Drsc Charles University , University Hospital Kralovske Vinohrady , Phd Charles University , Charles University , Rankin Scale , Mount Sinai Health System , Neurointerventional Surgery , Cardiovascular Interventions , European Society , Cardiology Council , European Association , Percutaneous Cardiovascular Interventions ,

Cath Lab Team Easily Trained to Do Stroke Intervention


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Establishing an endovascular therapy (EVT) program at a cardiology cath lab could be done with a minimal learning curve if operators had prior experience with carotid stenting, one tertiary university hospital reported.
The program, started in 2012 with the addition of an experienced interventional radiologist as lead operator, had stroke patients achieve good clinical outcomes at 90 days in 47.9% of cases.
Importantly, the distribution in modified Rankin Scale (mRS) scores stayed stable every year through 2019, according to Jakub Sulenko, MD, PhD, of Charles University and University Hospital Kralovske Vinohrady in Prague, Czech Republic, and colleagues in the PRAGUE-16 group.
When a catheter-based thrombectomy program was initiated in an experienced cardiac cath lab in close cooperation between cardiologists, neurologists, and radiologists, outcomes were comparable to those of neuroradiology centers, Sulenko and colleagues concluded in ....

Czech Republic , United States , Kralovske Vinohrady , Nicole Lou , Marius Hornung , Horst Sievert , Jakub Sulenko , Cardiovascular Center Frankfurt , Charles University , University Hospital Kralovske Vinohrady , Rankin Scale , Cardiovascular Center , Medpage Today , Cerebrovascular Accident , Ischemic Stroke , செக் குடியரசு , ஒன்றுபட்டது மாநிலங்களில் , நிக்கோல் லூ , மரியஸ் ஹார்னுங் , ஹார்ஸ்ட் சிேவேர்த , இருதய மையம் பிராங்க்ஃபர்ட் , சார்லஸ் பல்கலைக்கழகம் , ரான்கின் அளவு , இருதய மையம் , சிஇஆர்இபிஆர்ஓவிஏஎஸ்சியுவ்எல்ஏஆர் எதிர்பாராத நிகழ்ச்சி ,