摘要
Abstract
Objective To investigate the endovascular treatment status of acute ischemic stroke (AIS) in China. <br> Methods A survey questionnaire was conducted among the leaders of the ifrst batch of centers of Acute Ischemic Stroke Corporation Group of Endovascular Treatment (ANGEL). <br> Results Among the 110 centers from 64 cities of 25 provinces, 90 centers were level 3 A hospitals, 13 centers were level 3 B hospitals and 7 centers were level 2 hospitals. Endovascular treatment of acute ischemic stroke was performed by Neurology Department in 61.2% centers and by Neurosurgery Department in 18.0% centers. All the centers could perform 24 h computed tomography (CT) and digital subtraction angiography (DSA). However, 59.1% centers could perform 24 h CT angiography (CTA) and 30% centers could perform 24 h magnetic resonance (MR). The total number of cases undergoing endovascular treatment was 2522 of all the centers, and 16 centers (14.5%) performed more than 50 cases. In centers with more than 10 cases a year, 45.7% of centers with a hemorrhage after treatment of less than 5%. Recanalization (TICI 2b-3) was selected more (32.9%) of 81%~90%. 90 d functional independent was selected more (33.8%) of 50%~60%. In 8.6% of centers, recanalization was less than 60%. In 24.3% of centers, hemorrhage was more than 10%. In 8.8% of centers, 90 d functional independent was less than 40%. The top three favorable training contents were strategy and management of emergency unexpected issues during operation, material selection and technical standard of emergency treatment, and prevention and management of complications. <br> Conclusion The number of endovascular treatment of AIS is increasing in recent years. The 24 h multi-model imaging still needs improving. Hemorrhage complication, recanalization rate and functional independence also need improving. Standardized training and quality control are of key importance.关键词
急性缺血性卒中/血管内治疗/规范化培训/质量监控Key words
Acute ischemic stroke/Endovascular treatment/Standardized training/Quality control
