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Der Klinikarzt 2015; 44(07/08): 334-340
DOI: 10.1055/s-0035-1564276
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© Georg Thieme Verlag Stuttgart · New York

Modell für Stroke Units und die Lysetherapie – Neue Studien und wichtige Erkenntnisse für die akute Schlaganfallbehandlung

Update on stroke and recanalization therapy – New studies and important findings for acute stroke treatment
Heinrich J Audebert
1   Centrum für Schlaganfallforschung Berlin, Charité – Universitätsmedizin Berlin
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Publication History

Publication Date:
25 August 2015 (online)

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In den letzten Jahren hat eine ganze Reihe neuer Studien wichtige Erkenntnisse für die akute Schlaganfallbehandlung erbracht. Die Lysetherapie hat sich bei einem breiten Patientenkollektiv – unabhängig vom Alter und Schweregrad – als wirksam erwiesen und der enge Zusammenhang zwischen Zeit bis zu Behandlungsbeginn und Wirksamkeit zwingt zu einer Optimierung der Versorgungstrukturen. Mit den neuen Studien zur endovaskulären Thrombektomie liegen erstmals auch überzeugende Daten zur Effektivität der intraarteriellen mechanischen Thrombusentfernung vor, die eine Anpassung der prähospitalen und klinischen Abläufe erfordern. Zentrales Element für eine funktionierende Akut-Schlaganfallversorgung ist und bleibt die Stroke Unit, die durch neue Netzwerkstrukturen erweitert und ergänzt wird.

In the past few years numerous new trials have revealed important information concerning acute stroke treatment. Lysis therapy has proved to be effective for a broad patient collective – irrespective of age and severity – and the close relationship between the time to treatment start and efficacy demands an optimization of health-care structures. With the MR CLEAN study convincing data have become available for the first time concerning the efficacy of intra-arterial mechanical clot removal that implicate an adaptation of the prehospital and clinical procedures. The central element for the functioning care of acute stroke patients is and will continue to be the stroke unit that will be expanded and supplemented by new network structures.

Key words

Acute stroke - stroke unit - recanalization therapies - lysis therapy - MR CLEAN study - intra-arterial mechanical clot removal - health-care network
 

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