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    Home > Active Ingredient News > Study of Nervous System > Stroke: After analyzing 200,000 people, what is the general situation of mechanical thrombus removal after stroke?

    Stroke: After analyzing 200,000 people, what is the general situation of mechanical thrombus removal after stroke?

    • Last Update: 2021-08-26
    • Source: Internet
    • Author: User
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    Since the end of 2014, several randomized clinical trials have proved that mechanical thrombectomy can help restore cerebral perfusion in patients with acute ischemic stroke with cerebral vascular occlusion and prevent disability .


    Thrombotic vascular stroke

    However, thrombectomy requires procedural expertise, and not all hospitals have personnel to perform such interventions


    The nursing system should provide extensive and timely thrombectomy for patients with ischemic stroke and large vessel occlusion


    In this way, Hooman Kamel of Cornell University and others used population data from 11 states to try to solve the following problems:

    (1) What percentage of stroke patients in the United States can undergo thrombectomy?



    If an institution has undergone mechanical thrombectomy, it is classified as a hub; if it is transferred to a patient who ultimately undergoes mechanical thrombectomy, the institution is classified as a gateway; otherwise, it is classified as a gap ( gap)


    They found that among the 205 681 patients with ischemic stroke, 100 139 (48.


    Patients who were initially treated in the gateway were much less likely to undergo thrombectomy than those who were initially treated in the hub (OR=0.


    Patients who were initially treated in the gateway were much less likely to undergo thrombectomy than those who were initially treated in the hub (OR=0.


    For 93.


    The results of the study did not change in the model adjusted for demographics and comorbidities, and remained the same in multiple sensitivity analyses, including analyses that adjusted for estimated stroke severity


    The important significance of this study lies in the discovery: Even considering the transfer between hospitals, a considerable number of patients with ischemic stroke in the United States lack thrombectomy, and the stroke treatment system in the United States needs to be further developed to optimize the use of thrombectomy


    Original source:





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