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000137035 0247_ $$2doi$$a10.1007/s00234-013-1219-9
000137035 0247_ $$2pmid$$apmid:23811957
000137035 0247_ $$2ISSN$$a0028-3940
000137035 0247_ $$2ISSN$$a1432-1920
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000137035 037__ $$aDZNE-2020-03357
000137035 041__ $$aEnglish
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000137035 1001_ $$0P:(DE-HGF)0$$aSinger, Oliver C$$b0$$eCorresponding author
000137035 245__ $$aPeriprocedural aspects in mechanical recanalization for acute stroke: data from the ENDOSTROKE registry.
000137035 260__ $$aHeidelberg$$bSpringer$$c2013
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000137035 520__ $$aThe ENDOSTROKE registry aims to accompany the spreading use of endovascular stroke treatment (EVT) in academic and non-academic hospitals. This analysis focuses on preprocedural imaging, patient handling and referral, as well as on different treatment modalities in mechanical recanalization.Data for this study were from observational registry study in 12 stroke centers in Germany and Austria with online assessment of prespecified variables concerning endovascular stroke therapy.Data from 734 patients undergoing EVT were analyzed. Preferred imaging modality prior to EVT was CT (83 %) and CTA (78 %). In 95 %, EVT was performed under general anesthesia. In 55 % of patients, a combination of intravenous (IV) thrombolysis and EVT was used, followed by pure EVT (25 %), intra-arterial (IA) thrombolysis plus EVT (13 %) and IV + IA thrombolysis plus EVT (7 %). Intrahospital time delay until start of EVT was 91 and 99 min in anterior and vertebrobasilar circulation stroke, respectively. Average duration of EVT was 60 min. Overall thrombolysis in myocardial infarction grade 2/3 recanalization rate was 85 %. Stent retrievers were used in 75 %, being associated with higher recanalization rates than non-stent retrievers. Hemorrhagic complications (symptomatic and asymptomatic) occurred in 12 %. Overall vessel occlusion time was approximately 60 min longer in patients being referred from a primary care hospital for EVT.This study gives an overview of procedure-related factors in current EVT practice. It gives estimates on preprocedural imaging modalities, periprocedural handling, and treatment combinations used for EVT. Patient referral for EVT from primary care hospitals is associated with longer vessel occlusion times.
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000137035 650_2 $$2MeSH$$aAged
000137035 650_2 $$2MeSH$$aFemale
000137035 650_2 $$2MeSH$$aGermany: epidemiology
000137035 650_2 $$2MeSH$$aHumans
000137035 650_2 $$2MeSH$$aMale
000137035 650_2 $$2MeSH$$aMechanical Thrombolysis: statistics & numerical data
000137035 650_2 $$2MeSH$$aMiddle Aged
000137035 650_2 $$2MeSH$$aOperative Time
000137035 650_2 $$2MeSH$$aPerioperative Care: statistics & numerical data
000137035 650_2 $$2MeSH$$aPostoperative Complications: diagnosis
000137035 650_2 $$2MeSH$$aPostoperative Complications: epidemiology
000137035 650_2 $$2MeSH$$aPrevalence
000137035 650_2 $$2MeSH$$aRadiography
000137035 650_2 $$2MeSH$$aRegistries
000137035 650_2 $$2MeSH$$aRisk Factors
000137035 650_2 $$2MeSH$$aStents: statistics & numerical data
000137035 650_2 $$2MeSH$$aStroke: diagnostic imaging
000137035 650_2 $$2MeSH$$aStroke: epidemiology
000137035 650_2 $$2MeSH$$aStroke: surgery
000137035 650_2 $$2MeSH$$aTreatment Outcome
000137035 7001_ $$aHaring, Hans-Peter$$b1
000137035 7001_ $$aTrenkler, Johannes$$b2
000137035 7001_ $$0P:(DE-HGF)0$$aNolte, Christian H$$b3
000137035 7001_ $$aBohner, Georg$$b4
000137035 7001_ $$aNeumann-Haefelin, Tobias$$b5
000137035 7001_ $$aHofmann, Erich$$b6
000137035 7001_ $$aReich, Arno$$b7
000137035 7001_ $$aWiesmann, Martin$$b8
000137035 7001_ $$aNiederkorn, Kurt$$b9
000137035 7001_ $$aDeutschmann, Hannes$$b10
000137035 7001_ $$aBussmeyer, Matthias$$b11
000137035 7001_ $$aMpotsaris, Anastasios$$b12
000137035 7001_ $$aStoll, Anett$$b13
000137035 7001_ $$aBormann, Albrecht$$b14
000137035 7001_ $$0P:(DE-2719)2810273$$aPetzold, Gabor Claus Julius Peter$$b15$$udzne
000137035 7001_ $$aUrbach, Horst$$b16
000137035 7001_ $$aJander, Sebastian$$b17
000137035 7001_ $$aTurowski, Bernd$$b18
000137035 7001_ $$aWeimar, Christian$$b19
000137035 7001_ $$aSchlamann, Marc$$b20
000137035 7001_ $$aGröschel, Klaus$$b21
000137035 7001_ $$aBoor, Stephan$$b22
000137035 7001_ $$aBerkefeld, Joachim$$b23
000137035 7001_ $$aGroup, ENDOSTROKE Study$$b24
000137035 7001_ $$aPoltrum, Birgit$$b25
000137035 7001_ $$aGattringer, Thomas$$b26
000137035 7001_ $$0P:(DE-HGF)0$$aSchneider, Christine$$b27
000137035 7001_ $$0P:(DE-HGF)0$$aBode, Felix J$$b28
000137035 7001_ $$aGliem, Michael$$b29
000137035 7001_ $$aLee, John-Ih$$b30
000137035 7001_ $$aBrenck, Johannes$$b31
000137035 7001_ $$aStrenge, Dana$$b32
000137035 7001_ $$aYou, Se-Jong$$b33
000137035 7001_ $$aTütüncü, Serdar$$b34
000137035 7001_ $$aNußbaumer, Karin$$b35
000137035 7001_ $$aSonnberger, Michael$$b36
000137035 7001_ $$aMeggeneder, Jessica$$b37
000137035 77318 $$2Crossref$$3journal-article$$a10.1007/s00234-013-1219-9$$b : Springer Science and Business Media LLC, 2013-06-28$$n9$$p1143-1151$$tNeuroradiology$$v55$$x0028-3940$$y2013
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