O Brasil é um país em desenvolvimento que luta para reduzir sua desigualdade social extrema. Isso se reflete na falta de infraestrutura de cuidados de saúde, principalmente para a classe de baixa renda, que depende exclusivamente do sistema de saúde pública. No Brasil, menos de 1% dos pacientes com acidente vascular cerebral (AVC) têm acesso a trombólise intravenosa em uma unidade especializada de AVC e as limitações para a implementação da trombectomia mecânica nos hospitais públicos aumentam a carga social do AVC.
Sheila Martins, MD, PhD, Neurologista Vascular Professora da Faculdade de Medicina da Universidade Federal do Rio Grande do Sul, Coordenadora do Programa de AVC do Hospital de Clínicas de Porto Alegre e Presidente da Rede Brasil AVC, apresenta a palestra "Mechanical Thrombectomy in Low and Middle income countries". Nesta palestra será discutido a Trombectomia mecânica em países de baixo e médio desenvolvimento. Esta técnica tem alta efetividade, necessita de uma organização institucional e técnica maior, mas não deve ser considerada como o primeiro passo no tratamento de AVC. Alguns dos principais desafios encontrados são: a seleção de pacientes pré-hospitalar, ter angiotomagrafia disponível 24/7, hemodinâmica 24/7, neurointervencionista 24/7 e ainda, anestesista 24/7.
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