Lukáš Klečka

ORCID: 0000-0002-1316-5782
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About
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Research Areas
  • Acute Ischemic Stroke Management
  • Migraine and Headache Studies
  • COVID-19 and healthcare impacts
  • Stroke Rehabilitation and Recovery
  • Venous Thromboembolism Diagnosis and Management
  • Traumatic Brain Injury and Neurovascular Disturbances
  • Long-Term Effects of COVID-19
  • Climate Change and Health Impacts
  • Cerebrovascular and Carotid Artery Diseases
  • Advanced Technologies and Applied Computing
  • Trauma and Emergency Care Studies
  • Intracranial Aneurysms: Treatment and Complications

University Hospital Ostrava
2009-2024

Boston Medical Center
2021-2022

Boston University
2021-2022

Městská Nemocnice Ostrava
2021

Grady Memorial Hospital
2021

Universidade Federal do Rio Grande do Sul
2021

Hospital de Clínicas de Porto Alegre
2021

City Hospital
2009

Background and Purpose- A large infarct expanding cerebral edema (CED) due to a middle artery occlusion confers 70% mortality unless treated surgically. Reperfusion may cause blood-brain barrier disruption risk for secondary parenchymal hemorrhage (PH). We aimed investigate the effect of recanalization on development early CED PH after therapy. Methods- From SITS-International Stroke Treatment Registry, we selected patients with signs at baseline (either Hyperdense Artery Sign or computed...

10.1161/strokeaha.119.026692 article EN Stroke 2019-12-10
Thanh N. Nguyen Muhammad M. Qureshi Piers Klein Hiroshi Yamagami Robert Mikulík and 95 more Anna Członkowska Mohamad Abdalkader Petra Šedová Anvitha Sathya Hannah Lo Malek Mansour Husitha Reddy Vanguru É. Lesaine Georgios Tsivgoulis Aaron Loochtan Jelle Demeestere Ken Uchino Violiza Inoa Nitin Goyal Andreas Charidimou James E. Siegler Shadi Yaghi Diana Aguiar de Sousa Mahmoud Mohammaden Diogo C Haussen Espen Saxhaug Kristoffersen Virginia Pujol Lereis Sergio Scollo Bruce Campbell Alice Ma James Thomas Mark Parsons Shaloo Singhal Lee‐Anne Slater Rodrigo Tomazini Martins Chris Enzinger Thomas Gattringer Aminur Rahman Thomas Bonnet Noémie Ligot Sylvie De Raedt Robin Lemmens Peter Vanacker Fenne Vandervorst Adriana Bastos Conforto Raquel C.T. Hidalgo Luciana de Oliveira Neves Rodrigo Targa Martins Daissy Liliana Mora Cuervo Letícia C. Rebello Igor Bessa Santiago Isabelle Lameirinhas da Silva Teodora Sakelarova Rosen Kalpachki Filip Alexiev Luciana Catanese Elena Adela Cora Mayank Goyal Michael D. Hill Michael Kelly Houman Khosravani Pascale Lavoie Lissa Peeling Aleksandra Pikula Rodrigo Rivera Dawei Chen Yimin Chen Xiaochuan Huo Zhongrong Miao Shuiquan Yang Marina Roje Bedeković Marina Bralić Hrvoje Budinčević Ángel Basilio Corredor-Quintero Osvaldo E. Lara-Sarabia Martin Čábal Dusan Tenora Petr Fibrich Roman Herzig Helena Hlaváčová Emanuela Hrabanovska David Hlinovský Lubomír Jurák Jana Kadlcíková Igor Karpowicz Lukáš Klečka Martin Kovář David Lauer Jiří Neumann Hana Paloušková Martin Reiser Petra Reková Vladimír Rohan Ondřej Škoda Miroslav Škorňa Lenka Sobotková Martin Šrámek Lenka Žáková Hanne Christensen Nicolas Drenck

<h3>Background and Objectives</h3> Declines in stroke admission, IV thrombolysis (IVT), mechanical thrombectomy volumes were reported during the first wave of COVID-19 pandemic. There is a paucity data on longer-term effect pandemic over course year through second We sought to measure admissions, intracranial hemorrhage (ICH), IVT, 1-year period at onset (March 1, 2020, February 28, 2021) compared with immediately preceding 2019, 29, 2020). <h3>Methods</h3> conducted longitudinal...

10.1212/wnl.0000000000201426 article EN Neurology 2022-10-18

Abstract Background and Purpose Mechanical thrombectomy ( MT ) is indicated for the treatment of large vessel occlusion LVO stroke. should be provided as quickly possible; therefore, a test identifying suspected in prehospitalization stage needed to ensure direct transport comprehensive stroke center CSC ). We assume that patients with clinically severe hemiparesis have high probability modified FAST into PLUS test: The first part second evaluates presence arm or leg motor deficit. This...

10.1002/brb3.1087 article EN cc-by Brain and Behavior 2018-08-07

Background The benefit of intravenous thrombolysis is time dependent. It remains unclear, however, whether dramatic shortening door-to-needle (DNT) among different types hospitals nationwide does not compromise safety and still improves outcome. Methods Results Multifaceted intervention to shorten DNT was introduced at a national level, prospectively collected data from registry between 2004 2019 were analyzed. Generalized estimating equation used identify the association outcomes...

10.1161/jaha.121.023524 article EN cc-by-nc-nd Journal of the American Heart Association 2022-05-16

The safety and efficacy of intravenous thrombolysis (IVT) are well established in anterior circulation stroke (ACS) but much less clear for posterior (PCS). aim this study was to evaluate the occurrence parenchymal hematoma (PH) 3-month clinical outcomes after IVT PCS ACS. In an observational, cohort multicenter study, we analyzed data from ischemic patients treated with prospectively collected SITS (Safe Implementation Treatments Stroke) registry Czech Republic between 2004 2018. Out 10,211...

10.3390/biomedicines12020404 article EN cc-by Biomedicines 2024-02-09

Decompressive surgery within 48 hours in patients younger than 60 years of age reduces mortality and morbidity from malignant supratentorial infarction. The goal this study was to characterize the utilization decompressive Czech Republic 2006.This nationwide undertaken September December 2007 using a questionnaire sent all neurosurgery departments Republic. Diagnosis brain infarction based on discharge codes. Patient data were retrieved hospital charts. Favorable outcome defined as modified...

10.3171/2009.10.jns09888 article EN Journal of neurosurgery 2009-11-13

Aim: Pre-hospital triage by paramedics could determine which patients qualify for direct transport to comprehensive stroke centres mechanical thrombectomy. For be successful, have able identify major neurological impairments. The aim of our study was inter-rater reliability between and neurologists in identifying severe hemiparesis acute pat lents. Methods: In this prospective, multicentre study, 225 from Emergency Medical Services were taught via e-learning distinguish mild hemiparesis....

10.14735/amcsnn2019391 article EN Česká a slovenská neurologie a neurochirurgie 2019-07-31
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