%0 Journal Article
%T Systematic evaluation of stroke thrombectomy in clinical practice: The German Stroke Registry Endovascular Treatment
%A Albrecht Bormann
%A Anastasios Mpotsaris
%A Andreas Kastrup
%A Anna C Alegiani
%A Arno Reich
%A Bernd Eckert
%A Burkhard Alber
%A Christian Gerloff
%A Christian H Nolte
%A Christoffer Kraemer
%A Eberhard Siebert
%A Elke Hattingen
%A Felix J Bode
%A Frank A Wollenweber
%A Franziska Dorn
%A Gabor C Petzold
%A G£¿tz Thomalla
%A Ilko Maier
%A Jan H Sch£¿fer
%A Jan Liman
%A Jens Fiehler
%A Joachim R£¿ther
%A Joachim Spreer
%A J£¿rg Berrouschot
%A Kathleen Bernkopf
%A Kristin S Lange
%A Lars Kellert
%A Lars Krause
%A Marios Psychogios
%A Marlies Wagner
%A Martin Dichgans
%A Martin Wiesmann
%A Martina Petersen
%A Michael Braun
%A Mirko Pham
%A Moriz Herzberg
%A Panagiotis Papanagiotou
%A Peter Kraft
%A Regina von Rennenberg
%A Sarah Zweynert
%A Silke Wunderlich
%A Stephan Lowens
%A Sven Thonke
%A Tobias Boeckh-Behrens
%A Volker Limmroth
%A Waltraud Pfeilschifter
%J International Journal of Stroke
%@ 1747-4949
%D 2019
%R 10.1177/1747493018806199
%X Endovascular treatment has become standard of care for the treatment of acute ischemic stroke with large vessel occlusion. However, patients treated in clinical practice differ from the selected populations randomized in clinical trials. The German Stroke Registry Endovascular Treatment (GSR-ET) aims at a systematic evaluation of outcome, safety, and process parameters of endovascular stroke treatment in standard of care in Germany. The GSR-ET is an academic, independent, prospective, multicenter, observational registry study. Participating stroke centers from all over of Germany consecutively enroll patients transferred to the angiography suite with an intention to be treated with endovascular stroke treatment. Patients receive regular care. Data are collected as part of clinical routine. Baseline clinical and procedural information and clinical follow-up information after 90 days are recorded. Here, we present an analysis of baseline data of the first 1662 patients included in the GSR-ET. The registry was established in June 2015. By 31 December 2017, 1662 patients were enrolled in 23 active sites. Mean age was 72£¿¡À£¿13 years, 50% were female, and median National Institutes of Health Stroke Scale on admission was 15 (IQR 10¨C19), 88% had anterior circulation occlusion. Median ASPECT score was 8 (IQR 7¨C10) prior to intervention. Fifty-nine percent of patients received intravenous thrombolysis prior to thrombectomy. Mean ¡°onset-to-groin¡± time was 224£¿¡À£¿176£¿min. Baseline characteristics of stroke patients undergoing thrombectomy in clinical practice differ from those in the randomized trials. The GSR-ET will provide valuable insights into practices of endovascular treatment in routine care of acute ischemic stroke. (GSR-ET ClinicalTrials.gov Identifier: NCT03356392.
%K Stroke
%K acute stroke treatment
%K endovascular treatment
%K mechanical thrombectomy
%K thrombectomy
%K intravenous thrombolysis
%U https://journals.sagepub.com/doi/full/10.1177/1747493018806199