Providing modern specialized care in patients with ischemic stroke considering the potential of the secondary level of health care

Intravenous, intra-arterial thrombolysis and mechanical thrombectomy are the modern methods of treatment in patients with ischemic stroke, according to evidence-based medicine. The analysis of literature data allows to conclude that, as long as special equipment and trained professionals are in presence, these techniques can be applied at the secondary level of health care.
Key words: ischemic stroke, thrombolysis, mechanical thrombectomy, secondary level of health care.

Published: 08.11.2016

References:

• MOZ Ukrainy (2012) Nakaz MOZ Ukrainy «Pro zatverdzhennia ta vprovadzhennia medyko-tekhnolohichnykh dokumentiv zi standartyzatsii medychnoi dopomohy pry ishemichnomu insulti» vid 03.08.2012 r. № 602.
• MOZ Ukrainy (2014) Nakaz MOZ Ukrainy «Pro zatverdzhennia ta vprovadzhennia medyko-tekhnolohichnykh dokumentiv zi standartyzatsii medychnoi dopomohy pry hemorahichnomu insulti» vid 17.04.2014 r. № 275.
• Skvortsova V.I., Volyinskiy Yu.D., Shamalov N.A. i dr. (2010) Organizatsionnyie aspektyi provedeniya vnutriarterialnogo trombolizisa pri ishemicheskom insulte. Novosti meditsinyi i farmatsii. Nevrologiya (tematicheskiy nomer), 328 (http://www.mif-ua.com/archive/article/12841).
• Shamalov N.A. Ramazanov G.R., Anisimov K.V. (2012) Reperfuzionnaya terapiya pri ishemicheskom insulte. Farmateka, 19(252): 52–56.
• Barber P.A., Darby D.G., Desmond P.M. et al. (1998) Prediction of stroke outcome with echoplanar perfusion- and diffusion-weighted MRI. Neurology, 51(2): 418–426.
• Magdy S. (2007) Perioperative Stroke. N. Engl. J. Med., 356(7): 706–713.
• Weir L., Cadilhac D.A. (2007) Managing a stroke unit: an example from Australia with an emphasis on nursing roles. Int. J. Stroke, 2(3): 201–217.