Ces radiol. 2022, 76(1):7-13 | DOI: 10.55095/CesRadiol2022/001

Endovascular treatment of acute ischemic stroke - the results of METRICS study (Mechanical Thrombectomy Quality endicators Study in Czech Stroke Centers)Original article

Martin Köcher¹, Daniel Šaňák², Jana Zapletalová³, Filip Cihlář⁴, Daniel Czerný⁵, David Černík⁶, Petr Duras⁷, Jan Fiksa⁸, Jakub Hustý⁹, Lubomír Jurák¹⁰, Martin Kovář¹¹, Jiří Lacman¹², Radek Pádr¹³, Pavel Procházka¹⁴, Jan Raupach¹⁵, Martin Reiser¹⁶, Vladimír Rohan¹⁷, Martin Roubec¹⁸, Jindřich Sova¹⁹, Miroslav Šercl²⁰, Miroslav Škorňa²¹, Libor Šimůnek²², Alena Šnajdrová²³, Martin Šrámek²⁴, Aleš Tomek²⁵

¹ Radiologická klinika LF UP a FN, Olomouc

² Neurologická klinika LF UP a FN, Olomouc

³ Ústav lékařské biofyziky LF UP a FN, Olomouc

⁴ Radiologická klinika FZS UJEP a Krajská zdravotní a.s. - Masarykova nemocnice o.z., Ústí nad Labem

⁵ Radiologická klinika LF OU a FN, Ostrava

⁶ Neurologická klinika FZS UJEP a Krajská zdravotní a.s. - Masarykova nemocnice o.z., Ústí nad Labem

⁷ Klinika zobrazovacích metod LF UK a FN, Plzeň

⁸ Neurologická klinika 1. LF UK a VFN, Praha

⁹ Klinika radiologie a nukleární medicíny LF MU a FN, Brno

¹⁰ Neurologické oddělení, Krajská nemocnice Liberec a.s.

¹¹ Neurologické oddělení, Nemocnice Na Homolce, Praha

¹² Radiodiagnostické oddělení ÚVN, Praha

¹³ Klinika zobrazovacích metod 2. LF UK a FN, Praha

¹⁴ II. interní klinika 1. LF UK a VFN, Praha

¹⁵ Radiologická klinika LF UK a FN, Hradec Králové

¹⁶ Neurologické oddělení, Nemocnice České Budějovice

¹⁷ Neurologická klinika LF UK a FN, Plzeň

¹⁸ Neurologická klinika LF OU a FN, Ostrava

¹⁹ Radiologické oddělení, Nemocnice České Budějovice

²⁰ Radiodiagnostické oddělení, Krajská nemocnice Liberec a.s.

²¹ Neurologická klinika LFMU a FN, Brno

²² Neurologická klinika LF UK a FN, Hradec Králové

²³ Radiodiagnostické oddělení, Nemocnice Na Homolce, Praha

²⁴ Neurologické oddělení ÚVN, Praha

²⁵ Neurologická klinika 2. LFUK a FN, Praha

Aim: Mechanical thrombectomy (MT) of symptomatic occlusion of cerebral artery has become a standard treatment in acute ischemic stroke (IS) patients. The aim of the presented study was to evaluate if centers performing endovascular treatment of acute ischemic stroke meet the recommendations established by the international multi-society consensus.

Methods: The national prospective observational multicenter study METRICS (Mechanical Thrombectomy Quality Indicators Study in Czech Stroke Centers) was conducted in Czech Republic in year 2019. Twelve of 15 centers performing mechanical trombectomy were participating on study. All technical and clinical data were collected prospectively and achieved results were subsequently compared with the recommendations established by international multi-society consensus.

Results: In 12 centers 1178 (86%) patients (50.3% males, median of age 72 years, range 18-98 years) by MT were treated in 2019 and the collected data of these patients were analyzed. IV thrombolysis prior MT was performed in 827 (70.2%) patients and 445 (37.8%) patients were transferred secondarily for MT from primary stroke centers to dedicated comprehensive centers. Achieved data from the study METRICS were subsequently evaluated for individual participating centers. The concordance of results with the recommendations of multi-society consensus was very high. Five centers met parameters of all recommendations. Remaining centers did not meet sporadic criteria only and most parameters had borderline values.

Conclusion: The results of METRICS study showed that it is possible meet the recommended values of parameters stated in the international multi-society consensus even in a real world practice across the Czech Republic.

Keywords: acute ischemic stroke, mechanical thrombectomy, indicators of quality of care, stent-retriever, aspiration

Grants and funding:

Práce byla podpořena grantem RVO FNOL_00098892.

Accepted: April 6, 2022; Published: March 1, 2022  Show citation