부산대학교 도서관

Introduction. In Estonia, intravenous thrombolysis (ivTP) has been available for acute stroke treatment since 2003 and thrombectomy from 2009. The population of Estonia is 1.3 million inhabitants. We have 4 stroke units (3 per million), 6 ivTP centers, 3 centers providing thrombectomy (two of them 24/7). In 2017, 21% of all ischaemic stroke patients in Estonia received revascularisation treatment (ivTP or thrombectomy). Materials and methods. A study assessing the clinical characteristics and outcome of patients treated with thrombectomy from 2015 to 2017 in two main interventional stroke centers (North-Estonian Medical Center and Tartu University Clinics) in Estonia was conducted using the SITS registry. Patients with large artery occlusion treated with intraveonous thrombolysis and thrombectomy or only by thrombectomy were included. Results. During the study period, 287 patients were included with mean age 72 years and median NIHSS on admission of 17 points. The majority of patients (72%) received ivTP treatment prior to thrombectomy. A TICI score of 2b or 3 was reached in 77% of patients. The proportion of patients with mRS 0-2 at 90 days was 32%. Also the 90-day mortality was 32%. Conclusion. The outcome of stroke patients treated with thrombectomy in Estonia is comparable to previous studies. The overall availability of acute stroke treatments is good, but a governmental strategy is needed to further improve the treatment of stroke in Estonia. [ABSTRACT FROM AUTHOR]