Ces radiol. 2021, 75(2):117-122 | DOI: 10.55095/CesRadiol2021/014

Evolution of endovascular neurointerventional procedures numbers in Czech Republic between 2013 and 2020 years and literature survey of studies with the Czech authorship or coauthorshipOriginal article

Antonín Krajina¹, Filip Cihlář², Petr Duras³, Jan Fiksa⁴, Jakub Hustý⁵, Ladislava Janoušková⁶, Tomáš Jonszta⁷, Martin Kocher⁸, Boris Kožnar⁹, Jiří Lacman¹⁰, Michal Polovinčák¹¹, Jindřich Sova¹², Miroslav Šercl¹³, Martin Válka¹⁴, Jiří Vaníček¹⁵, Josef Veselka¹⁶

¹ Radiologická klinika LF UK a FN, Hradec Králové

² Radiologická klinika FZS UJEP, Krajská zdravotní a.s. - Masarykova nemocnice v Ústí nad Labem

³ Klinika zobrazovacích metod LF UK a FN, Plzeň

⁴ Neurologická klinika 1. LF UK a VFN, Praha

⁵ Klinika radiologie a nukleární medicíny LF MU a FN, Brno

⁶ Radiodiagnostické oddělení, Nemocnice Na Homolce Praha

⁷ Radiodiagnostický ústav FN, Ostrava

⁸ Radiologická klinika LF UP a FN, Olomouc

⁹ III. interní klinika 3. LF UK a FN Královské Vinohrady, Praha

¹⁰ Radiodiagnostické oddělení ÚVN, Praha

¹¹ Klinika zobrazovacích metod 2. LF UK a FN Motol, Praha

¹² Radiologické oddělení, Nemocnice České Budějovice

¹³ Radiologické oddělení, Krajská nemocnice Liberec a.s.

¹⁴ Iktové centrum, Vítkovická nemocnice Ostrava

¹⁵ Klinika zobrazovacích metod LF MU a FN u sv. Anny, Brno

¹⁶ Kardiologická klinika 2. LF UK a FN Motol, Praha

Aim: The authors analysed numbers of endovascular neurointerventional procedures in Czech Republic comprehensive neurovascular centres in the years from 2013 to 2020.

Methods: The questionnaire was sent to all tertiary and two secondary neurovascular centres in Czech Republic. Numbers of each specified procedure were required. On basis of the 3 most frequently performed procedures (endovascular therapy of acute ischemic stroke, extra- and intracranial stenoses, and intracranial aneurysms) the eight-year trends of each procedure frequency, and total numbers of all neurovascular procedures (i.e. carotid dissections, intracranial stenoses, cerebral and spinal arteriovenous shunts, skull base tumors, epistaxis, vasospasms after subarachnoid hemorrhage) were evaluated.

Results: Frequency of the mechanic thrombectomy increased from 417 procedures in the year 2013 to 1468 procedures in the year 2019. There was yearly increase of the number of procedures by 132 in 2017, by 154 in 2018, by 148 in 2019. In 2020 number of procedures for ischemic stroke decreased by 19. There was stagnation in numbers of carotid angioplasties, and treated cerebral aneurysms during the studied period.

Conclusion: There were significant differences revealed among cerebrovascular centres regarding numbers of treated patiens for acute ischemic stroke, extra- and intracranial stenoses, and cerebral aneurysms. The number of neurovascular procedures decreased due to the SARS-CoV-2 pandemic in 2020.

Keywords: interventional neuroradiology, carotid angioplasty, intracranial aneurysm, stroke

Grants and funding:

Práce byla podpořena výborem České společnosti intervenční radiologie.

Accepted: April 14, 2021; Published: June 1, 2021  Show citation