AMERICAN POLITICAL SCIENCE ASSOCIATION American Political ...
Thrombolytics have much broader indications than ... · AHA/ASA Guideline 2015 American Heart...
Transcript of Thrombolytics have much broader indications than ... · AHA/ASA Guideline 2015 American Heart...
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ESC Heart & Brain Workshop
Thrombolytics have much broader
indications than mechanical thrombectomy
in stroke
Supported by Bayer, Bristol-Myers Squibb and Pfizer Alliance, Boehringer Ingelheim, Daiichi Sankyo Europe GmbH and Medtronic in the form of educational grants. The scientific programme has not been influenced in any way by its sponsors.
Marta Rubiera, MD PhDStroke Neurologist
Hospital Vall d’Hebron
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Declaration of Interest
Nothing to declare
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Of course!!!
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Cardioembolic
Atherothrombotic
Lacunar
Infrequent
Cryptogenic
25-30 %
25 %
15-20%
5-10 %
20 %
Stroke subtypes
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Large vessel occlusion in acute stroke
PROACT : 43.8% M1-M2 occ
≈30-40%
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<6hours Code Stroke Catalunya 2016-2017
N 2778
Sex (male) 1436 (51,7%)
Age (mean +/- SD) 72,1 +/- 15,3
Pre-stroke mRS (median (IQR))
0 (0-2)
RACE (median (IQR)) 4 (2-6)
NIHSS (median (IQR)) 9 (4-18)
OTDT (mean +/- SD) 117 +/- 80
ASPECTS (median (IQR)) 10 (8-10)
Treatment (All, ischemic):EVTIVT
444 (16%, 25,2%)763 (27,5%, 43,3%)
M. Requena, MD. Poster presentation. ISC 2018
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Hypodensity >1/3 MCA territory
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ESO: ASPECTS <7 no tPA(<3h ??)
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alone
In conclusion…
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Stroke
Ischemic Stroke
Code Stroke
Reperfusioncandidates
IAReperfusioncandidates