Hokkaido Area

Abstract

Objective: Thrombectomy for cerebral infarction caused by major artery occlusion was recently established based on a number of evidences. Moreover, growing body of evidences is expected to bring further drastic changes to the treatment for cerebral infarction.

Methods: After Kobe Declaration at the Annual Meeting of the Japanese Society for Neuroendovascular Therapy in 2016, nationwide effort to bring the benefit of this therapy to the patients has been made by physicians working on the endovascular therapy and other areas.

Results: In Hokkaido, population is concentrated to limited areas in the broad land. Thus, the distance between the urban area and the underpopulated area is relatively long compared to that in other prefectures. Moreover, the bad weather in winter in this area often prevents use of air ambulance. Such the conditions in this area are disadvantageous for thrombectomy which particularly needs immediate operation.

Conclusion: I would like to introduce the effort of the physicians working on the endovascular therapy and the thrombectomy teams to develop this treatment in Hokkaido area despite the bad conditions.