dc.contributor.author |
Burnell, AL |
en |
dc.contributor.author |
Ranta, A |
en |
dc.contributor.author |
Wu, T |
en |
dc.contributor.author |
Fink, J |
en |
dc.contributor.author |
McGuinness, B |
en |
dc.contributor.author |
Caldwell, J |
en |
dc.contributor.author |
Collecutt, W |
en |
dc.contributor.author |
Brew, S |
en |
dc.contributor.author |
Barber, Peter |
en |
dc.date.accessioned |
2019-03-21T01:57:22Z |
en |
dc.date.issued |
2018-10-26 |
en |
dc.identifier.citation |
New Zealand Medical Journal 131(1484):13-18 26 Oct 2018 |
en |
dc.identifier.issn |
0028-8446 |
en |
dc.identifier.uri |
http://hdl.handle.net/2292/46251 |
en |
dc.description.abstract |
AIMS:Stroke endovascular clot retrieval (ECR) in patients with large proximal vessel occlusion improves clinical outcomes. We present the New Zealand ECR experience. METHODS:All New Zealand patients treated with ECR since 2011 were included. Patients were considered eligible if they were independent prior to stroke and had proximal intracranial arterial occlusion. RESULTS:Three hundred and twelve patients [136 women, mean (SD) age of 64 (17) years] from 11 district health boards have been treated between March 2011 and April 2018. There were 260 (83%) patients with anterior and 52 (17%) with posterior circulation arterial occlusion. One hundred and ninety-three (62%) patients were pre-treated with intravenous alteplase. The median time from symptom onset to groin puncture was 210 (range 65-985) minutes. Complete or near-complete recanalisation (Thrombolysis in Cerebral Infarction scores of 3 or 2b) was achieved in 260 of 300 (87%) and the National Institutes of Health Stroke Scale score improved from a median of 18 at baseline to 7 at 24 hours. By day 90, 55% of the anterior circulation patients and 40% of the posterior circulation patients were living independently at home. Mortality rates were 20% for anterior circulation patients and 30% for the posterior circulation patients. CONCLUSIONS:This study has shown that stroke endovascular clot retrieval is being provided safely and effectively in New Zealand. However, there remain discrepancies in service provision, and ongoing regional, inter-regional and inter-sector collaboration is essential to implement comprehensive and equitable ECR services across the country. |
en |
dc.format.medium |
Electronic |
en |
dc.language |
eng |
en |
dc.publisher |
New Zealand Medical Association |
en |
dc.relation.ispartofseries |
New Zealand Medical Journal |
en |
dc.rights |
Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. |
en |
dc.rights.uri |
https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm |
en |
dc.rights.uri |
http://www.nzma.org.nz/journal/contribute/articles |
en |
dc.subject |
Humans |
en |
dc.subject |
Brain Ischemia |
en |
dc.subject |
Arterial Occlusive Diseases |
en |
dc.subject |
Tissue Plasminogen Activator |
en |
dc.subject |
Fibrinolytic Agents |
en |
dc.subject |
Thrombolytic Therapy |
en |
dc.subject |
Length of Stay |
en |
dc.subject |
Thrombectomy |
en |
dc.subject |
Severity of Illness Index |
en |
dc.subject |
Adolescent |
en |
dc.subject |
Adult |
en |
dc.subject |
Aged |
en |
dc.subject |
Aged, 80 and over |
en |
dc.subject |
Middle Aged |
en |
dc.subject |
New Zealand |
en |
dc.subject |
Female |
en |
dc.subject |
Male |
en |
dc.subject |
Stroke |
en |
dc.subject |
Young Adult |
en |
dc.subject |
Endovascular Procedures |
en |
dc.subject |
Time-to-Treatment |
en |
dc.title |
Endovascular clot retrieval for acute ischaemic stroke in New Zealand |
en |
dc.type |
Journal Article |
en |
pubs.issue |
1484 |
en |
pubs.begin-page |
13 |
en |
pubs.volume |
131 |
en |
dc.rights.holder |
Copyright: NZMA |
en |
pubs.author-url |
http://www.nzma.org.nz/journal/read-the-journal/all-issues/2010-2019/2018/vol-131-no-1484-26-october-2018/7719 |
en |
pubs.end-page |
18 |
en |
pubs.publication-status |
Published |
en |
dc.rights.accessrights |
http://purl.org/eprint/accessRights/OpenAccess |
en |
pubs.subtype |
Article |
en |
pubs.elements-id |
755964 |
en |
pubs.org-id |
Medical and Health Sciences |
en |
pubs.org-id |
School of Medicine |
en |
pubs.org-id |
Medicine Department |
en |
dc.identifier.eissn |
1175-8716 |
en |
pubs.record-created-at-source-date |
2019-08-16 |
en |
pubs.dimensions-id |
30359351 |
en |