Five years of thrombolysis in a Chilean hospital: leading a local initiative towards a national public health policy

Figueroa, T. Ernesto; Saez, Daniel Martinez; Mansilla, Emilia Cercenado; Alvarado, Matilde; Barra, Joyce; González, Cristian; González, Julia; Rodriguez, P; Trujillo, Oscar; Lillo, Patricia; Delgado, Iris

doi:10.1016/j.jns.2015.08.1469

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“…En relación a los resultados angiográficos post procedimiento, se asemejan a lo publicado en gran parte de los estudios [7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24] , definiendo una recanalización satisfactoria de TICI 2b y 3 en porcentajes similares a lo expuesto en esta serie.…”

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“…En los últimos años se han producido grandes avances en el manejo del accidente cerebrovascular isquémico (ACVi), como la trombolisis endovenosa (Tlev) 4,5 , trombectomía mecánica (Tmec) [6][7][8][9] y TeleStroke (TS) [10][11][12][13] . El traslado de estas herramientas hacia el sistema público de salud ha sido lento en Chile [14][15][16][17] . Si bien se describen experiencias en centros de salud privados, la mayor parte de la población no tuvo acceso a técnicas de reperfusión cerebral sino hasta finales del año 2010 18,19 .…”

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Manejo avanzado del infarto cerebral en un hospital público chileno: trombectomía mecánica en el Hospital Barros Luco Trudeau

et al. 2022

Rev. méd. Chile

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Mechanical thrombectomy in a Chilean public hospital. Experience in 149 patientsBackground: Mechanical thrombectomy is the accepted treatment for acute ischemic stroke in Large Vessel Occlusion. The Barros Luco Trudeau hospital developed endovenous thrombolysis in 2010, and since 2012, implemented endovascular management, becoming the neurovascular center in the southern area of the metropolitan region. Aim: To describe endovascular management of acute ischemic stroke in a Chilean public hospital. Material and Methods: Analysis of patients with acute ischemic stroke that were treated with mechanical thrombectomy from 2012 to 2019 in the Barros Luco Hospital. Results: In the study period, a mechanical thrombectomy was carried out in 149 patients aged 61 ± 15 years (46% females). The average National institute of Health Stroke Scale (NIHSS) at presentation was 19 ± 4-5. Anterior or posterior circulation involvement was present in 89.9 and 10.1 % of patients. Twenty-five percent of patients were referred from other public centers. The mean lapse between onset of symptoms and thrombectomy was 266 ± 178 in. Ninety days after the procedure, 58% of patients had minimal or absent disability (Modified Ranson score of 0-2), and 19,2% died. Conclusions: Mechanical thrombectomy, according to this experience, has favorable clinical outcomes in patients with high NIHSS scores at entry.

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Manejo avanzado del infarto cerebral en un hospital público chileno: trombectomía mecánica en el Hospital Barros Luco Trudeau

et al. 2022

Rev. méd. Chile

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Five years of thrombolysis in a Chilean hospital: leading a local initiative towards a national public health policy

Cited by 1 publication

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Manejo avanzado del infarto cerebral en un hospital público chileno: trombectomía mecánica en el Hospital Barros Luco Trudeau

Manejo avanzado del infarto cerebral en un hospital público chileno: trombectomía mecánica en el Hospital Barros Luco Trudeau

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