Abstract
Aim: The chance of a good result of mechanical thrombectomy (MT) for a large cerebral artery occlusion is directly proportional to the speed of its execution. The aim was to find differences in outcome in patients transported primarily and secondarily to the Comprehensive Stroke Center (CSC) of the University Hospital Hradec Kralove.
Patients and Methods: Out of 258 consecutive patients, 171 were transported to the CSC for MT primarily and 87 secondarily, from the primary stroke center. Clinical data, including intervals from the onset of cerebral ischemia and arrival to the center and then to treatment, were compared with clinical trials and the STRATIS registry and in both groups.
The indicator of treatment effectiveness was the achievement of successful recanalization (TICI >= 2b) and self-sufficiency in 3 months (mRS 80 years (17.0 vs. 33.3%; p = 0.043) and a higher proportion of tandem pathologies (24.1 vs. 11.7%; p = 0.036). Conclusion: Our results suggest that selection associated with secondary transport excludes a group of more risky patients from endovascular treatment.