2020 Volume 42 Issue 1 Pages 1-7
Background and Purpose: The effectiveness of thrombectomy in acute ischemic stroke has been demonstrated, and the recanalization rate has improved with advances in equipment. The time from onset to recanalization greatly affects the prognosis. This paper describes the strengthening of efforts to shorten the time from patient presentation to the start of treatment in our hospital. Methods: Of 86 patients treated between January 2015 and December 2017, 30 patients were treated between January 2015 and December 2015 (the former group), and 56 patients were treated between January 2016 and December 2017 (the latter group). The time from presentation to the start of surgery and treatment prognosis were compared retrospectively. Results: The time from presentation to the start of surgery was significantly shortened in the latter group. The rates of thrombolysis in cerebral infarction grade 2B/3 recanalization and modified Rankin Scale score 0–2 at discharge in patients with recanalization were not significantly different between the two groups. Conclusion: The time from patient presentation to the start of surgery was significantly shortened by strengthening the system. Further shortening of the time and strengthening of the system are necessary to improve the treatment outcome.
