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首页> 外文期刊>Journal of stroke and cerebrovascular diseases: The official journal of National Stroke Association >Regionwide Retrospective Survey of Acute Mechanical Thrombectomy in Tama, Suburban Tokyo: A Preliminary Report
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Regionwide Retrospective Survey of Acute Mechanical Thrombectomy in Tama, Suburban Tokyo: A Preliminary Report

机译：郊区东京郊区急性机械血栓切除术的急性机械血栓切除术：初步报告

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Background and PurposeTo improve results of acute thrombectomy, the time from stroke onset to efficient recanalization must be minimized. Studies have confirmed the importance of rapid treatment, workflow, and efficient team-based care for acute thrombectomy in large vessel occlusion. This study examined the challenges facing mechanical thrombectomy in the Tama area (population, 4.3 million), a densely populated urban area of Tokyo, Japan, and analyzed retrospective data from the Tama-REgistry of Acute endovascular Thrombectomy. MethodsThis study was a retrospective observational study using data from Tama-REgistry of Acute endovascular Thrombectomy, a multicenter registry of mechanical thrombectomy for acute ischemic stroke in the Tama area of Tokyo. The survey covered 396 patients with large vessel occlusion who underwent acute thrombectomy between January 2015 and March 2017. Participating facilities are 12 of the 13 recanalization therapy-capable stroke centers. ResultsWe analyzed 326 cases for which modified Rankin Scale score at 90days was available, of which 264 cases were directly admitted, and 62 cases were transferred from other stroke centers. Median time from stroke onset to hospital arrival was 111 minutes, and from arrival to efficient recanalization was 135 minutes. Efficient recanalization was achieved in 257 cases (78.8%), symptomatic hemorrhage developed in 19 cases (5.8%), and modified Rankin Scale 0-2 at 90days was seen in 129 cases (39.6%). The vast majority of patients (n?=?299, 94.3%) were transferred within 10km to the enrolling hospital. ConclusionsThese results provide useful information about the emergent transfer system for patients with large vessel occlusion in a densely populated urban area.
机译：背景和puposeto改善急性血栓切除术的结果，必须最小化从中风发作到有效的再生化的时间。研究证实了在大血管闭塞中快速治疗，工作流程和基于急性血栓切除术的基于急性血栓切除术的重要性。本研究审查了TAMA地区机械血栓切除术面临的挑战（人口，430万），是急性血管内血栓切除术的TAMA-Registry的回顾性数据。方法研究是一种回顾性观察研究，使用来自急性血管内血管切除术的TAMA-Registromy的数据，是东京的急性缺血性中风的机械血栓切除术的多中心注册表。该调查涵盖了396例大型血管闭塞患者，在2015年1月至2017年3月期间接受了急性血栓切除术。参与设施是13个重组治疗能力的中风中心中的12个。 ResultSwe分析了326个案例，其中90天改进的Rankin规模得分，其中征收了264例案件，62例从其他中风中心转移。从中风发作到医院到达的中位数是111分钟，从抵达到有效的重新计算是135分钟。在257例（78.8％）中实现了高效的再生，19例（5.8％）开发的症状出血，并在129例（39.6％）中看到了90天的改进的Rankin规模。绝大多数患者（N？= 299,94.3％）在10公里到招生医院转移。结论结果，结果提供了有关浓密人口城市地区大血管闭塞患者的急动转移系统的有用信息。

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