Mechanical thrombectomy in acute stroke – Five years of experience in Poland

Objectives Mechanical thrombectomy (MT) is not reimbursed by the Polish public health system. We present a description of 5 years of experience with MT in acute stroke in Comprehensive Stroke Centers (CSCs) in Poland. Methods and results We retrospectively analyzed the results of a structured questionnaire from 23 out of 25 identified CSCs and 22 data sets that include 61 clinical, radiological and outcome measures. Results Most of the CSCs (74%) were founded at University Hospitals and most (65.2%) work round the clock. In 78.3% of them, the working teams are composed of neurologists and neuro-radiologists. All CSCs perform CT and angio-CT before MT. In total 586 patients were subjected to MT and data from 531 of them were analyzed. Mean time laps from stroke onset to groin puncture was 250±99min. 90.3% of the studied patients had MT within 6h from stroke onset; 59.3% of them were treated with IV rt-PA prior to MT; 15.1% had IA rt-PA during MT and 4.7% – emergent stenting of a large vessel. M1 of MCA was occluded in 47.8% of cases. The Solitaire device was used in 53% of cases. Successful recanalization (TICI2b–TICI3) was achieved in 64.6% of cases and 53.4% of patients did not experience hemorrhagic transformation. Clinical improvement on discharge was noticed in 53.7% of cases, futile recanalization – in 30.7%, mRS of 0–2 – in 31.4% and mRS of 6 in 22% of cases. Conclusion Our results can help harmonize standards for MT in Poland according to international guidelines

Assessing Excessive Keratinization in Acral Areas through Dermatoscopy with Cross-Polarization and Parallel-Polarization: A Dermatoscopic Keratinization Scale

Excessive epidermal hyperkeratosis in acral areas is a common occurrence in dermatology practice, with a notable prevalence of approximately 65% in the elderly, especially in plantar lesions. Hyperkeratosis, characterized by thickening of the stratum corneum, can have various causes, including chronic physical or chemical factors, genetic predispositions, immunological disorders, and pharmaceutical compounds. This condition can significantly impact mobility, increase the risk of falls, and reduce the overall quality of life, particularly in older individuals. Management often involves creams containing urea to soften hyperkeratotic areas. Currently, subjective visual evaluation is the gold standard for assessing hyperkeratosis severity, lacking precision and consistency. Therefore, our research group proposes a novel 6-point keratinization scale based on dermatoscopy with cross-polarization and parallel-polarization techniques. This scale provides a structured framework for objective assessment, aiding in treatment selection, duration determination, and monitoring disease progression. Its clinical utility extends to various dermatological conditions involving hyperkeratosis, making it a valuable tool in dermatology practice. This standardized approach enhances communication among healthcare professionals, ultimately improving patient care and research comparability in dermatology

Der Einsatz von Fernerkundungstechnologien im Kontext mit dem Markscheidewesen und der Geotechnik - Beispiele aus der Praxis

In diesem Beitrag wird aufgezeigt, wie die Firma ILV durch langjährige Beteiligung an Forschungs- und Entwicklungsvorhaben sowie durch Industrieerprobung von innovativen Technologien erfolgreich im In- und Ausland arbeitet. Vorgestellt werden schwerpunkthaft Ergebnisse der Anwendung von Satellitenbilddaten im visuellen Bereich und von Radardaten sowie Erfahrungen bei der Einführung der digitalen Luftbildkameratechnik. Berichte aus der Praxis des digitalen Bildfluges im Ausland auch aus Sicht des Auftraggebers für geologische und geotechnische Fragestellungen und der Industrieerprobung von Multibeam-Sonar-Technik zeigen die innovativen Potentiale dieser Technologien.In this paper, it is shown how the company ILV works successfully domestically and abroad by long standing involvement in research and development projects as well as by industrial testing of innovative technologies. The focus of the paper are results of application of satellite images in visual range and of radar data as experiences with the introduction of digital airborne camera technique. Field notes about digital photo flight abroad – also from the view of the customer for geological and geotechnical problems – and about industrial testing of Multi-beam Sonar Technique show the innovative potentials of these technologies

Der Einsatz von Fernerkundungstechnologien im Kontext mit dem Markscheidewesen und der Geotechnik - Beispiele aus der Praxis

In diesem Beitrag wird aufgezeigt, wie die Firma ILV durch langjährige Beteiligung an Forschungs- und Entwicklungsvorhaben sowie durch Industrieerprobung von innovativen Technologien erfolgreich im In- und Ausland arbeitet. Vorgestellt werden schwerpunkthaft Ergebnisse der Anwendung von Satellitenbilddaten im visuellen Bereich und von Radardaten sowie Erfahrungen bei der Einführung der digitalen Luftbildkameratechnik. Berichte aus der Praxis des digitalen Bildfluges im Ausland auch aus Sicht des Auftraggebers für geologische und geotechnische Fragestellungen und der Industrieerprobung von Multibeam-Sonar-Technik zeigen die innovativen Potentiale dieser Technologien.In this paper, it is shown how the company ILV works successfully domestically and abroad by long standing involvement in research and development projects as well as by industrial testing of innovative technologies. The focus of the paper are results of application of satellite images in visual range and of radar data as experiences with the introduction of digital airborne camera technique. Field notes about digital photo flight abroad – also from the view of the customer for geological and geotechnical problems – and about industrial testing of Multi-beam Sonar Technique show the innovative potentials of these technologies

Mechanical thrombectomy in acute stroke : five years of experience in Poland

Objectives: Mechanical thrombectomy (MT) is not reimbursed by the Polish public health system. We present a description of 5 years of experience with MT in acute stroke in Comprehensive Stroke Centers (CSCs) in Poland. Methods and results: We retrospectively analyzed the results of a structured questionnaire from 23 out of 25 identified CSCs and 22 data sets that include 61 clinical, radiological and outcome measures. Results: Most of the CSCs (74%) were founded at University Hospitals and most (65.2%) work round the clock. In 78.3% of them, the working teams are composed of neurologists and neuro-radiologists. All CSCs perform CT and angio-CT before MT. In total 586 patients were subjected to MT and data from 531 of them were analyzed. Mean time laps from stroke onset to groin puncture was 250 99 min. 90.3% of the studied patients had MT within 6 h from stroke onset; 59.3% of them were treated with IV rt-PA prior to MT; 15.1% had IA rt-PA during MT and 4.7% - emergent stenting of a large vessel. M1 of MCA was occluded in 47.8% of cases. The Solitaire device was used in 53% of cases. Successful recanalization (TICI2b–TICI3) was achieved in 64.6% of cases and 53.4% of patients did not experience hemorrhagic transformation. Clinical improvement on discharge was noticed in 53.7% of cases, futile recanalization - in 30.7%, mRS of 0–2 - in 31.4% and mRS of 6 in 22% of cases. Conclusion: Our results can help harmonize standards for MT in Poland according to international guideline