How to Set up a Thrombectomy Service

Савелло, А. В.; Вознюк, И А; Fiehler, Jens; Orlov, Kirill

doi:10.1007/s00062-020-00890-6

Cited by 4 publications

(5 citation statements)

References 7 publications

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“…National stroke programs in Baltic countries established modern stroke centers, steadily increased the number of systemic thrombolysis and thrombectomies, and resulted in the declining mortality rates, decreased numbers of severely handicapped stroke patients, and diminished urban/rural and regional inequalities [26][27][28]. Several reports describe successful interventions in the Russian Federation [29]. However, still very little is known about the stroke care in the countries of the Caucasus or central Asia.…”

Section: Discussionmentioning

confidence: 99%

Establishing Stroke Services in the Republic of Georgia

Katsarava

Akhvlediani

Janelidze³

et al. 2021

Eur Neurol

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Introduction: This article summarizes the medical experience in establishing stroke units and systemic thrombolysis in Georgia, which, like many other post-Soviet countries, still faces problems in organizing stroke care even after 30 years of independence. Patients and Methods: We created an example of treating acute stroke with systemic thrombolysis and introduced stroke units in several hospitals in the country, including standardization of the diagnostic and treatment process, consistent evaluation, and monthly feedback to the stroke unit staff. Results: Systemic thrombolysis has become a clinical routine in some large hospitals and is meanwhile reimbursed by the state insurance. The data of consecutive 1,707 stroke patients in 4 major cities demonstrated significant time lost at the prehospital level, due to failure in identifying stroke symptoms, delay in notification, or transportation. The consequent quality reports resulted in a dramatic increase in adherence to the European and national guidelines. A mandatory dysphagia screening and subsequent treatment led to a decrease in pneumonia rates. Discussion: We discuss our experience and suggestions on how to overcome clinical, financial, and ethical problems in establishing a stroke services in a developing country. Conclusion: The Georgian example might be useful for doctors in other post-Soviet countries or other parts of the world.

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Section: Discussionmentioning

confidence: 99%

Establishing Stroke Services in the Republic of Georgia

Katsarava

Akhvlediani

Janelidze³

et al. 2021

Eur Neurol

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“…The suitability of experienced interventional cardiologists to learn to deliver MT safely with 3–6 months of specialist training has been demonstrated in other countries. In those countries, their role on hybrid MT rotas is now well established 32 33. Such specialist teams are familiar with 24/7 emergency rotas and procedures involving complex decision making.…”

Section: How Could We Do Better?mentioning

confidence: 99%

Percutaneous management of acute ischaemic stroke

Routledge

Curzen

2023

Heart

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“…Given that the first major randomised trial to show the life-changing benefits of MT was published on 1 January 2015, further delay should no longer be considered reasonable, in our view, when other mechanisms of delivery have been shown to be safe and successful in other countries. [ 11 ]…”

Section: Workforce Challengesmentioning

confidence: 99%

“…In St Petersburg, an interventional stroke programme was set up in 2015 using the existing STEMI network, cath labs and ICs. [ 11 ] This was delivered through a programme of training sessions and masterclasses delivered by neurointerventionalists to the region's ICs. Prior to this initiative, only 25 patients per year were being treated with MT.…”

Section: Interdisciplinary Solutionsmentioning

confidence: 99%

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Can Interventional Cardiologists Help Deliver the UK Mechanical Thrombectomy Interventional Programme for Patients with Acute Ischaemic Stroke? A Discussion Paper from the British Cardiovascular Interventional Society Stroke Thrombectomy Focus Group

et al. 2022

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There is a willingness among UK interventional cardiologists to contribute to provision of a 24/7 mechanical thrombectomy (MT) service for all suitable stroke patients if given the appropriate training. This highly effective intervention remains unavailable to the majority of patients who might benefit, partly because there is a limited number of trained specialists. As demonstrated in other countries, interdisciplinary working can be the solution and an opportunity to achieve this is outlined in this article.

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How to Set up a Thrombectomy Service

Cited by 4 publications

References 7 publications

Establishing Stroke Services in the Republic of Georgia

Establishing Stroke Services in the Republic of Georgia

Percutaneous management of acute ischaemic stroke

Can Interventional Cardiologists Help Deliver the UK Mechanical Thrombectomy Interventional Programme for Patients with Acute Ischaemic Stroke? A Discussion Paper from the British Cardiovascular Interventional Society Stroke Thrombectomy Focus Group

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