@article{358013c3cc864007903a7873a7a07056,
title = "Endovascular stroke therapy in Austria: a nationwide 1-year experience",
abstract = "BACKGROUND AND PURPOSE: Based on a tight network of stroke units (SUs) and interventional centres, endovascular treatment of acute major intracranial vessel occlusion has been widely implemented in Austria. Documentation of all patients in the nationwide SU registry has thereby become mandatory.METHODS: Demographic, clinical and interventional characteristics of patients who underwent endovascular treatment for acute ischaemic stroke in 11 Austrian interventional centres between 1 October 2013 and 30 September 2014 were analysed.RESULTS: In total, 301 patients (50.5% women; median age 70.5 years; median National Institutes of Health Stroke Scale score 17) were identified.193 patients (64.1%) additionally received intravenous thrombolysis. The most frequent vessel occlusion sites were the M1 segment of the middle cerebral artery (n = 161, 53.5%), the intracranial internal carotid artery (n = 60, 19.9%) and the basilar artery (n = 40, 13.3%). Stent retrievers were used in 235 patients (78.1%) and adequate reperfusion (modified Thrombolysis in Cerebral Infarction scores 2b and 3, median onset to reperfusion time 254 min) was achieved in 242 patients (81.4%). Symptomatic intracranial haemorrhage occurred in 7%. 43.8% of patients (n = 132) had good functional outcome (modified Rankin Scale score 0-2) and the mortality rate was 20.9% (n = 63) after 3 months. Compared to the anterior circulation, vertebrobasilar stroke patients had higher mortality. Patients with secondary hospital transportation had better outcomes after 3 months than in-house treated patients.CONCLUSION: Our results document nationwide favourable outcome and safety rates of endovascular stroke treatment comparable to recent randomized trials. The ability to provide such data and the need to further optimize such an approach also underscore the contribution of respective registries.",
keywords = "Administration, Intravenous, Aged, Austria, Brain Ischemia/drug therapy, Endovascular Procedures/methods, Female, Humans, Male, Middle Aged, Registries, Stents, Stroke/drug therapy, Thrombectomy/methods, Thrombolytic Therapy/methods, Treatment Outcome, United States",
author = "{Austrian Stroke Unit Registry Collaborators} and W Serles and T Gattringer and S Mutzenbach and L Seyfang and J Trenkler and M Killer-Oberpfalzer and H Deutschmann and K Niederkorn and F Wolf and A Gruber and K Hausegger and J Weber and S Thurnher and E Gizewski and J Willeit and R Karaic and E Fertl and C Na{\v s}el and M Brainin and J Erian and S Oberndorfer and F Karnel and W Grisold and E Auff and F Fazekas and H-P Haring and W Lang",
note = "Funding Information: Interventional centres (in descending order by number of interventions): Upper Austrian Clinic of Neurology Wagner-Jauregg (82), J. Trenkler, K. Nu{\ss}baumer, M. Sonnberger; State Hospital – University Hospital Salzburg (56), M. Killer-Oberpfalzer, F. Weymayr; State Hospital – University Hospital Graz (40), H. Deutschmann, M. Wehrsch{\"u}tz, M. Augustin, H. Portugaller; University Hospital Vienna (33), M. Schoder, F. Wolf, W. Matzek, F. Waneck, C. Kinstner, D. Javor, M. Funovics, A. Gruber, G. Bavinzski; State Hospital Klagenfurt (28), K. Hausegger, H. Illiasch, T. Kau; State Hospital University Hospital Innsbruck (16), E. Gizewski, A. Grams, B. Glodny; Hospital of St John of God Vienna (13), S. Thurnher, B. Oder; Hospital Rudolfstiftung Vienna (10), J. Vavrik, R. Karaic; University Clinic Tulln (7), C. Nasel; University Clinic St P{\"o}lten (7), J. Erian, B. Sadat-Gouche; Kaiser Franz Josef Hospital Vienna (4), F. Karnel; Hospital Wilhelminenspital Vienna (3), C. Neumann; Hospital of St John of God Linz (1); Hospital Wels-Grieskirchen (1). This work receives no specific funding. Publisher Copyright: {\textcopyright} 2016 European Academy of Neurology.",
year = "2016",
month = may,
day = "1",
doi = "10.1111/ene.12958",
language = "English",
volume = "23",
pages = "906--911",
journal = "European Journal of Neurology",
issn = "1351-5101",
publisher = "Wiley-Blackwell Publishing Ltd",
number = "5",
}