Breaking the breach in Latin America: A pilot study of mechanical thrombectomy in the public healthcare system in Chile
| Autor: | Alejandro Salazar, Lautaro Badilla, Walter Gonzalez, Juan Pablo Cruz, Catalina Merino-Osorio, Loreto Bravo, Raul G Nogueira, Monica Oportus, Daniel Echeverria, Fabian Bravo, Pascual Catalan, Juan Sordo, Enzo Brunetti, Camila Pinto, Hector Ojeda, Rodrigo Rivera, Maria Luisa Orellana, Cristian Amudio |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Latin Americans Pilot Projects Cerebral Revascularization 030204 cardiovascular system & hematology Public healthcare Brain Ischemia 03 medical and health sciences 0302 clinical medicine Mechanical Thrombolysis Humans Medicine 030212 general & internal medicine Chile Stroke Ischemic Stroke Aged Retrospective Studies Thrombectomy business.industry Public health Middle Aged medicine.disease Mechanical thrombectomy Latin America Treatment Outcome Medical emergency business Delivery of Health Care Large vessel occlusion |
| Zdroj: | Interv Neuroradiol |
| ISSN: | 2385-2011 1591-0199 |
| DOI: | 10.1177/1591019920956405 |
| Popis: | Background Mechanical Thrombectomy (MT) is the standard of care for treatment of large vessel occlusion stroke. Until the beginning of 2020 MT was not funded nor widely implemented at the public healthcare level in Chile. Objective To describe the results of a pilot program created to provide access to public MT in Santiago - Chile. Methods Analysis from a prospectively collected database of MT cases performed between September 2017 and September 2019 in one center. A stroke network was developed with a single MT capable stroke center and five primary stroke centers. The primary efficacy endpoint was the rate of functional independence (mRS 0-2) at 90 days. Successful reperfusion was defined as 2 b-3 according to the thrombolysis in cerebral infarction scale. Safety outcomes include the rates of symptomatic intracranial hemorrhage and 90-day mortality. Results A total of 100 patients were treated over the study period. Their mean age was 62.8 ± 11.8 years and median baseline National Institute of Health Stroke Scale (NIHSS) measurement was 17. Seventy-seven percent of the patients received intra venous thrombolysis. Successful reperfusion was achieved in 95% of the cases. NIHSS at 24 hours showed a median drop of 7 points from baseline (p Conclusions We demonstrated the feasibility of a publicly funded MT program in Chile, with similar results as other international randomized control trials. |
| Databáze: | OpenAIRE |
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