Abstract
Background And Aims: In ischemic stroke rapid reperfusion is crucial for disability free survival.
Access to endovascular thrombectomy (ET) in Latvia is limited with P. Stradins CUH- the only center
providing access to ET 24/7. We compared patients who were Mothershiped (MS) to patients who
were transferred from primary stroke centers (Drip-and-ship-DS).
Methods: Retrospective study was performed including all ET patients admitted to PS CUH January
2018 and December 2019. Patients data: mRS, NIHSS at time of admission and at discharge, time of
onset-to-endovascular treatment were collected. Modified Thrombolysis mTICI score of 2b-3 was
define for successful recanalization. Good clinical outcome at discharge was indicated by mRS score
of 0–2.
Results: ET was performed in 204 patients: 36 MS and 168 DS. Median NIHSS score at admission was
14,5 (IQR 10,5-18) vs 15 (IQR 11–18). Median mRS score at admission was 5 (IQR 5–5) in both groups.
Patients undergoing DS had 94,4% recanalization rate and MS 89,9%. Median NIHSS score reduction
from admission to discharge for survived patients (14 to 9 vs 15 to 3) was more pronounced in MS
group. Median onset-to-endovascular treatment time was 292 minutes in DS and 190 minutes in MS
group. mRS 0–2 reached by 25,0% in MS vs 27,4% in DS. Conclusions: Patients with acute ischemic stroke admitted by MS for ET seems to have slightly better
clinical outcome. But the clinical improvement was observed in both groups. There is a room for
improvement primary centers and patient logistics to improve the time in which the patients arrive at
comprehensive stroke center for ET.
Access to endovascular thrombectomy (ET) in Latvia is limited with P. Stradins CUH- the only center
providing access to ET 24/7. We compared patients who were Mothershiped (MS) to patients who
were transferred from primary stroke centers (Drip-and-ship-DS).
Methods: Retrospective study was performed including all ET patients admitted to PS CUH January
2018 and December 2019. Patients data: mRS, NIHSS at time of admission and at discharge, time of
onset-to-endovascular treatment were collected. Modified Thrombolysis mTICI score of 2b-3 was
define for successful recanalization. Good clinical outcome at discharge was indicated by mRS score
of 0–2.
Results: ET was performed in 204 patients: 36 MS and 168 DS. Median NIHSS score at admission was
14,5 (IQR 10,5-18) vs 15 (IQR 11–18). Median mRS score at admission was 5 (IQR 5–5) in both groups.
Patients undergoing DS had 94,4% recanalization rate and MS 89,9%. Median NIHSS score reduction
from admission to discharge for survived patients (14 to 9 vs 15 to 3) was more pronounced in MS
group. Median onset-to-endovascular treatment time was 292 minutes in DS and 190 minutes in MS
group. mRS 0–2 reached by 25,0% in MS vs 27,4% in DS. Conclusions: Patients with acute ischemic stroke admitted by MS for ET seems to have slightly better
clinical outcome. But the clinical improvement was observed in both groups. There is a room for
improvement primary centers and patient logistics to improve the time in which the patients arrive at
comprehensive stroke center for ET.
| Original language | English |
|---|---|
| Pages (from-to) | 213-214 |
| Journal | International Journal of Stroke |
| Volume | 15 |
| Issue number | IS |
| Publication status | Published - 2020 |
| Event | Joint European Stroke Organisation and World Stroke Organization Conference (ESO-WSO 2020) - virtual Duration: 7 Nov 2020 → 9 Nov 2020 https://eso-wso-conference.org/ https://eso-stroke.org/events/eso-wso-conference-2020/ |
Field of Science*
- 3.2 Clinical medicine
Publication Type*
- 3.3. Publications in conference proceedings indexed in Web of Science and/or Scopus database