Current status and prospects stroke treatment in Ukraine

  • M.E. Polishchuk Shupyk National Medical Academy of Postgraduate Education, Kyiv
  • D.V. Shchehlov SO «Scientific-Practical Center of Endovascular Neuroradiology NAMS of Ukraine», Kyiv
  • O.M. Goncharuk Shupyk National Medical Academy of Postgraduate Education, Kyiv
  • M.Yu. Mamonova National Medical University named after O.O. Bogomolets, Kyiv
  • S.V. Konotopchyk SO «Scientific-Practical Center of Endovascular Neuroradiology NAMS of Ukraine», Kyiv
Keywords: stroke, thrombolysis, thrombus extraction, thrombus aspiration, craniotomy

Abstract

One of the most common causes of death in the population is a stroke, which is in the third leading cause of death in the most countries. The prevalence of the stroke in Ukraine is one of the largest in Europe — 282.3 cases per 100 thousand population, or 100 thousand annually. The data of the Minis- try of Health of Ukraine and of number of medical establishments in Ukraine regarding treatment of patients with strokes have been analyzed. The possibilities and prospects of providing medical care to patients with strokes in Kyiv and Ukraine are shown, taking into account available medical resources and their effective using. Analysis of the current state of medical care for patients with acute cerebro- vascular accidents revealed that the use of neurosurgical services in Kyiv and Ukraine, which have the necessary equipment, staff, personnel, emergency services, after a minor reorganization will soon provide emergency assistance to patients with stroke.

Downloads

Download data is not yet available.

References

Guljajeva MV, Polishhuk MJe. Standartyzacija nadannja medychnoi dopomogy pacijentam z insultom: krok vpered (Ukr). Sudynni zahvorjuvannja golovnogo mozku (Ukr). 2012;1:2-5.

Polishhuk NE, Moskovko SP, Flomin JuV, Guljaeva MV, Guljaev DV. Insult: Problemy i reshenija (Rus). Sudy- nni zahvorjuvannja golovnogo mozku (Ukr). 2015;3- 4:2-9.

Ministerstvo ohorony zdorovja Ukrainy. Stan nevrologichnoi sluzhby Ukrai'ny v 2015 roci (Ukr). Харків, 2016.

Mishhenko TS. Analiz epidemiologii cerebrovaskuljarnyh zahvorjuvan v Ukraini (Ukr). Sudynni zahvorjuvannja golovnogo mozku (Ukr). 2010;3:2-9.

Polishhuk MJe. Aktualni pytannja v likuvanni insultu (Ukr). Sudynni zahvorjuvannja golovnogo mozku (Ukr). 2016;1-2:2-9.

Radd AG, Matchar DB. Svjaz politiki zdravoohranenija i klinicheskih ishodov pri insulte (Rus). Stroke (Rus). Uchrediteli: Rossijskaja nacionalnaja associa- cija po borbe s insultom. Moscow: Bionika, 2004.

Sapon NA, Nikiforova AN. Vlijanie faktorov dostup- nosti medicinskoj pomoshhi na uroven smertnosti ot insulta (Rus). Ukr. nejrohir. zhurn (Ukr). 2016;2:54- 62.

Suchasni pryncypy diagnostyky ta likuvannja hvoryh iz gostrymy porushennjamy mozkovogo krovoo- bigu. Metodychni rekomendacii MOZ, AMN Ukrainy, ICNMU i PIR (Ukr). Кyiv, 2005,63 p.

Berkhemer OA, Fransen PS, Beumer D et al:, MR CLEAN Investigators. A randomized trial of intraarterial treatment for acute ischemic stroke. N. Engl. J. Med. 2015;372:11–20. doi: 10.1056/NEJMoa1411587.

Turk AS, Frei D, Fiorella D et al. ADAPT FAST study: a direct aspiration first pass technique for acute stroke thrombectomy. J. Neurointerv. Surg. 2014;6(4):260-4.

Mocco J, Zaidat OO, von Kummer R et al. Aspiration thrombectomy after intravenous alteplase versus intra- venous Alteplase alone. Stroke. 2016;47(9):2331-8. doi: 10.1161/STROKEAHA.116.013372.

Coutinho JM, Liebeskind DS, Slater LA et al. Combined intravenous thrombolysis and thrombectomy vs thrombectomy alone for acute ischemic stroke: a pooled analysis of the SWIFT and STAR studies. JAMA Neurol. 2017;74(3):268-74. doi: 10.1001/jamaneurol.2016.5374.

Kowoll A, Weber A, Mpotsaris A et al. Direct aspiration first pass technique for the treatment of acute ischemic stroke: initial experience at a European stroke center. J. Neurointerv. Surg. 2016;8:230-4. doi: 10.1136/neurintsurg-2014-011520.

Campbell BC, Mitchell PJ, Kleinig TJ et al.; EXTEND-IA Investigators. Endovascular therapy for ischemic stroke with perfusion-imaging selection. N. Engl. J. Med. 2015; 372:1009-18. doi: 10.1056/NEJMoa1414792.

Ho-Cheol Lee, Dong-Hun Kang, Yang-Ha Hwang, Yong-Sun Kim et al. Forced arterial suction thrombectomy using distal access catheter in acute ischemic stroke. Neurointervention. 2017;12(1):45-9.

Kaste M, Norrving B. Editorials: from the world stroke day to the world stroke campaign: one in six: act now!. Int. J .Stroke. 2010;5:342-343.

Bracard S, Ducrocq X, Mas JL et al:, THRACE Inves- tigators. Mechanical thrombectomy after intravenous alteplase versus alteplase alone after stroke (THRACE): a randomised controlled trial. Lancet Neurol. 2016; 15:1138-47. doi: 10.1016/S1474-4422(16)30177-6.

Goyal M, Demchuk AM, Menon BK et al:, ESCAPE Trial Investigators. Randomized assessment of rapid endovascular treatment of ischemic stroke. N. Engl. J. Med. 2015;372:1019-30. doi: 10.1056/NEJMoa1414905.

Saver JL, Goyal M., Bonafe A et al. Solitaire with the Intention for Thrombectomy as Primary Endovascular Treatment for Acute Ischemic Stroke (SWIFT PRIME) trial: protocol for a randomized, controlled, multicenter study comparing the Solitaire revascularization device with IV tPA with IV tPA alone in acute ischemic stroke Int. J. Stroke. 2015;10:439-48.

Jovin TG, Chamorro A, Cobo E et al:, REVASCAT Trial Investigators. Thrombectomy within 8 hours after symptom onset in ischemic stroke. N. Engl. J. Med. 2015;372:2296-306. doi: 10.1056/NEJ- Moa1503780.

World Bank. 1993. World Development Report 1993: Investing in Health. New York:Oxford University Press, 1993.


Abstract views: 114
PDF Downloads: 66
Published
2017-09-30
How to Cite
Polishchuk, M., Shchehlov, D., Goncharuk, O., Mamonova, M., & Konotopchyk, S. (2017). Current status and prospects stroke treatment in Ukraine. Endovascular Neuroradiology, 22(4), 14-22. https://doi.org/10.26683/2304-9359-2017-4(22)-14-22

Most read articles by the same author(s)

1 2 > >>