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@ARTICLE{Singer:137035,
author = {Singer, Oliver C and Haring, Hans-Peter and Trenkler,
Johannes and Nolte, Christian H and Bohner, Georg and
Neumann-Haefelin, Tobias and Hofmann, Erich and Reich, Arno
and Wiesmann, Martin and Niederkorn, Kurt and Deutschmann,
Hannes and Bussmeyer, Matthias and Mpotsaris, Anastasios and
Stoll, Anett and Bormann, Albrecht and Petzold, Gabor Claus
Julius Peter and Urbach, Horst and Jander, Sebastian and
Turowski, Bernd and Weimar, Christian and Schlamann, Marc
and Gröschel, Klaus and Boor, Stephan and Berkefeld,
Joachim and Group, ENDOSTROKE Study and Poltrum, Birgit and
Gattringer, Thomas and Schneider, Christine and Bode, Felix
J and Gliem, Michael and Lee, John-Ih and Brenck, Johannes
and Strenge, Dana and You, Se-Jong and Tütüncü, Serdar
and Nußbaumer, Karin and Sonnberger, Michael and
Meggeneder, Jessica},
title = {{P}eriprocedural aspects in mechanical recanalization for
acute stroke: data from the {ENDOSTROKE} registry.},
journal = {Neuroradiology},
volume = {55},
number = {9},
issn = {0028-3940},
address = {Heidelberg},
publisher = {Springer},
reportid = {DZNE-2020-03357},
pages = {1143-1151},
year = {2013},
abstract = {The 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.},
keywords = {Aged / Female / Germany: epidemiology / Humans / Male /
Mechanical Thrombolysis: statistics $\&$ numerical data /
Middle Aged / Operative Time / Perioperative Care:
statistics $\&$ numerical data / Postoperative
Complications: diagnosis / Postoperative Complications:
epidemiology / Prevalence / Radiography / Registries / Risk
Factors / Stents: statistics $\&$ numerical data / Stroke:
diagnostic imaging / Stroke: epidemiology / Stroke: surgery
/ Treatment Outcome},
cin = {AG Petzold},
ddc = {610},
cid = {I:(DE-2719)1013020},
pnm = {344 - Clinical and Health Care Research (POF3-344)},
pid = {G:(DE-HGF)POF3-344},
typ = {PUB:(DE-HGF)16},
pubmed = {pmid:23811957},
doi = {10.1007/s00234-013-1219-9},
url = {https://pub.dzne.de/record/137035},
}