Adam Bielecki
Research Subjects
Research Interests
Adam Bielecki has a total of 156 co-authors. Here are the top co-authors by number of shared publications:
- Adam Heliosz
Voivodeship Hospital, No 2, Jastrzębie Zdrój, Poland
1 shared publication - Adam Kobayashi
Department of Pharmacology and Clinical Pharmacology, Faculty of Medicine, Collegium Medicum, Cardinal Stefan Wyszyński University, 01-938 Warsaw, Poland
1 shared publication - Adam Ryszczyk
Voivodeship Hospital, No 2, Jastrzębie Zdrój, Poland
1 shared publication - Adam Stępień
Military Institute of Medicine – National Research Institute, Warsaw, Poland (A.D., J.S., A. Stępien)
1 shared publication - Adrian Dąbrowski
Multidisciplinary Municipal Hospital, Poznań, Poland
1 shared publication - Agnieszka Krzak-Kubica
Vito-Med Hospital in Gliwice, 44-100 Gliwice, Poland
1 shared publication
Latest Publications
- 1 September 2017
- Published by VM Media Group sp. z o.o in Neurologia i Neurochirurgia Polska
- Vol. 51 (5) , 339-346
Mechanical thrombectomy in acute stroke – Five years of experience in Poland
Mechanical thrombectomy (MT) is not reimbursed by the Polish public health system. We present a description of 5 years of experience with MT in acute stroke in Comprehensive Stroke Centers (CSCs) in Poland. We retrospectively analyzed the results of a structured questionnaire from 23 out of 25 identified CSCs and 22 data sets that include 61 clinical, radiological and outcome measures. Most of the CSCs (74%) were founded at University Hospitals and most (65.2%) work round the clock. In 78.3% of them, the working teams are composed of neurologists and neuro-radiologists. All CSCs perform CT and angio-CT before MT. In total 586 patients were subjected to MT and data from 531 of them were analyzed. Mean time laps from stroke onset to groin puncture was 250±99min. 90.3% of the studied patients had MT within 6h from stroke onset; 59.3% of them were treated with IV rt-PA prior to MT; 15.1% had IA rt-PA during MT and 4.7% - emergent stenting of a large vessel. M1 of MCA was occluded in 47.8% of cases. The Solitaire device was used in 53% of cases. Successful recanalization (TICI2b-TICI3) was achieved in 64.6% of cases and 53.4% of patients did not experience hemorrhagic transformation. Clinical improvement on discharge was noticed in 53.7% of cases, futile recanalization - in 30.7%, mRS of 0-2 - in 31.4% and mRS of 6 in 22% of cases. Our results can help harmonize standards for MT in Poland according to international guidelines.
- 1 September 2017
- Published by VM Media Group sp. z o.o in Neurologia i Neurochirurgia Polska
- Vol. 51 (5) , 339-346
Mechanical thrombectomy in acute stroke – Five years of experience in Poland
Mechanical thrombectomy (MT) is not reimbursed by the Polish public health system. We present a description of 5 years of experience with MT in acute stroke in Comprehensive Stroke Centers (CSCs) in Poland. We retrospectively analyzed the results of a structured questionnaire from 23 out of 25 identified CSCs and 22 data sets that include 61 clinical, radiological and outcome measures. Most of the CSCs (74%) were founded at University Hospitals and most (65.2%) work round the clock. In 78.3% of them, the working teams are composed of neurologists and neuro-radiologists. All CSCs perform CT and angio-CT before MT. In total 586 patients were subjected to MT and data from 531 of them were analyzed. Mean time laps from stroke onset to groin puncture was 250±99min. 90.3% of the studied patients had MT within 6h from stroke onset; 59.3% of them were treated with IV rt-PA prior to MT; 15.1% had IA rt-PA during MT and 4.7% - emergent stenting of a large vessel. M1 of MCA was occluded in 47.8% of cases. The Solitaire device was used in 53% of cases. Successful recanalization (TICI2b-TICI3) was achieved in 64.6% of cases and 53.4% of patients did not experience hemorrhagic transformation. Clinical improvement on discharge was noticed in 53.7% of cases, futile recanalization - in 30.7%, mRS of 0-2 - in 31.4% and mRS of 6 in 22% of cases. Our results can help harmonize standards for MT in Poland according to international guidelines.