Acute ischemic stroke treatment model for Poland in the mechanical thrombectomy era – which way to go?

Krzysztof Pawłowski; Artur Dziadkiewicz; Jacek Klaudel; Alicja Mączkowiak; Marek Szołkiewicz

doi:10.5114/aic.2022.115269

eISSN: 1897-4295
ISSN: 1734-9338

Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej

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abstract:

Review paper

Acute ischemic stroke treatment model for Poland in the mechanical thrombectomy era – which way to go?

Krzysztof Pawłowski

¹

,

Artur Dziadkiewicz

²

,

Jacek Klaudel

³

,

Alicja Mączkowiak

²

,

Marek Szołkiewicz

¹

Department of Cardiology and Interventional Angiology, Kashubian Center for Heart and Vascular Diseases, Pomeranian Hospitals, Wejherowo, Poland
Department of Neurology and Stroke, Pomeranian Hospitals, Wejherowo, Poland
Department of Invasive Cardiology, St. Adalbert’s Hospital, Copernicus PL, Gdansk, Poland

Adv Interv Cardiol 2022; 18, 1 (67): 4–13

DOI: https://doi.org/10.5114/aic.2022.115269

Online publish date: 2022/04/11

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AMA

Pawłowski K, Dziadkiewicz A, Klaudel J, Mączkowiak A, Szołkiewicz M. Acute ischemic stroke treatment model for Poland in the mechanical thrombectomy era – which way to go?. Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej. 2022;18(1):4-13. doi:10.5114/aic.2022.115269.

APA

Pawłowski, K., Dziadkiewicz, A., Klaudel, J., Mączkowiak, A.,  & Szołkiewicz, M. (2022). Acute ischemic stroke treatment model for Poland in the mechanical thrombectomy era – which way to go?. Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej, 18(1), 4-13. https://doi.org/10.5114/aic.2022.115269

Chicago

Pawłowski, Krzysztof, Artur Dziadkiewicz, Jacek Klaudel, Alicja Mączkowiak,  and Marek Szołkiewicz. 2022. "Acute ischemic stroke treatment model for Poland in the mechanical thrombectomy era – which way to go?". Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej 18 (1): 4-13. doi:10.5114/aic.2022.115269.

Harvard

Pawłowski, K., Dziadkiewicz, A., Klaudel, J., Mączkowiak, A.,  and Szołkiewicz, M. (2022). Acute ischemic stroke treatment model for Poland in the mechanical thrombectomy era – which way to go?. Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej, 18(1), pp.4-13. https://doi.org/10.5114/aic.2022.115269

MLA

Pawłowski, Krzysztof et al. "Acute ischemic stroke treatment model for Poland in the mechanical thrombectomy era – which way to go?." Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej, vol. 18, no. 1, 2022, pp. 4-13. doi:10.5114/aic.2022.115269.

Vancouver

Pawłowski K, Dziadkiewicz A, Klaudel J, Mączkowiak A, Szołkiewicz M. Acute ischemic stroke treatment model for Poland in the mechanical thrombectomy era – which way to go?. Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej. 2022;18(1):4-13. doi:10.5114/aic.2022.115269.

The interventional treatment of acute ischemic stroke with large vessel occlusion has revolutionized patient care in recent years. The Mechanical Thrombectomy Pilot Program in Poland is due to end soon. It seems the right time to summarize the achievements and name the problems of a centralized stroke care system and decide what future model of treatment and transportation to implement. In order to provide the best care for our patients, it is crucial to establish the actual needs in stroke and tailor the mechanical thrombectomy system structure accordingly. The analysis of data from well-organized health systems in the world suggests that to deliver adequate numbers of mechanical thrombectomy to stroke patients in Poland, we would need to at least double the number of procedures currently performed. To achieve this, an essential system reorganization and adjustments are required, with special emphasis on the number of mechanical thrombectomy centers and transportation models. The strengths and weaknesses of two dominant transportation models (mothership and drip-and-ship) are herein discussed, and a proposal on how to build an efficient and cost-effective mechanical thrombectomy stroke network in Poland is put forward. The article is an invitation to open an interdisciplinary discussion on the best treatment model of acute ischemic stroke patients requiring mechanical thrombectomy in Poland.

keywords:

Acute ischemic stroke treatment model for Poland in the mechanical thrombectomy era – which way to go?

Krzysztof Pawłowski 1 , Artur Dziadkiewicz 2 , Jacek Klaudel 3 , Alicja Mączkowiak 2 , Marek Szołkiewicz 1

acute ischemic stroke, mechanical thrombectomy, stroke network modeling, thrombectomy-capable stroke center, stroke transportation model

Krzysztof Pawłowski

¹

,

Artur Dziadkiewicz

²

,

Jacek Klaudel

³

,

Alicja Mączkowiak

²

,

Marek Szołkiewicz

¹