Commentary on: Kunz, A., Ebinger, M., Geisler, F., Rozanski, M., Waldschmidt, C., Weber, J.E., Wendt, M., Winter, B., Zieschang, K., Fiebach, J.B. and Villringer, K., 2016. Functional outcomes of pre-hospital thrombolysis in a mobile stroke treatment unit compared with conventional care: an observational registry study. The Lancet Neurology, 15(10), pp.1035-1043

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Endovascular Therapy for Acute Stroke

Stroke is the most common cause of permanent disability, the second most common cause of dementia, and the fourth most common cause of death in the Western world. Recently, based on positive multicenter randomized clinical trials, endovascular therapy for acute stroke has undergone a revolution. Routine mechanical thrombectomy in addition to intravenous thrombolysis has been shown to provide excellent outcomes for patients with proximal anterior circulation occlusions. This procedure reduces disability and benefits are seen across a wide range of age and initial stroke severity. Important features that affect treatment decisions include time of presentation, the patient's clinical status, imaging characteristics, and lab tests. Under optimal conditions, it should be available to patients 24/7, similar to systems offering prompt percutaneous coronary interventions to patients with acute ST-segment elevation myocardial infarctions

Skala ASPECTS w udarze niedokrwiennym

Skala ASPECTS (Alberta Stroke Program Early CT Score) powstała na początku XXI wieku jako kwantyfikator wczesnych zmian niedokrwiennych na obrazach tomografii komputerowej u pacjentów podejrzanych o ostry udar niedokrwienny mózgu. Obejmuje zakres od 0 do 10 pkt., gdzie 10 pkt. oznacza stan prawidłowy. Jest ona skorelowana z rokowaniem. Obecnie jest jednym z kryteriów podczas kwalifikacji chorych do trombektomii mechanicznej.  W artykule omówiono historię, rozwój i przyszłość skali ASPECTS oraz opisano praktyczny protokół oceny.