Vol 49, No 2 (2015)

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Endovascular treatment of acute ischemic stroke – Own experience

Daniel Knap1, Maciej Honkowicz2, Tomasz Kirmes2, Marcin Koroński2, Mateusz Bukański2, Marzena Kysiak2, Bartosz Kadłubicki2, Izabela Dymon3, Dominik Sieroń4, Jan Baron1
DOI: 10.1016/j.pjnns.2015.01.007
Neurol Neurochir Pol 2015;49(2):81-89.

Abstract

Objective

Presentation of the own experience in the treatment of ischemic stroke using endovascular methods of simultaneous evaluation of their effectiveness and safety.

Materials and methods

The retrospective study involved a group of 18 patients hospitalized in 2005–2012 who were treated with intraarterial thrombolysis and mechanical thrombectomy. Overall there were 24 procedures performed. The investigated group consisted of seven (38.89%) women and 11 (61.11%) men. The average age of the patients was 60 years (SD±17, median – 60 years).

Results

In 62.50% of cases (n=15) the effect of revascularization has been achieved and another 12.50% of cases (n=3) recanalization was achieved only partially. Only in 25% of procedures (n=6) failed to achieve recanalization of the artery (TICI≤1). The highest percentage of recanalized arteries were obtained by following the procedure of thrombolysis targeted – 69.24% (TICI≥2b). In the case of mechanical thrombectomy total patency (TICI≥2b) was 54.55%. The average duration of treatment (operation) is 157min. After 30 days successful result of the neurological status was achieved in 57.14% of patients (n=8). Full return to independent functioning as defined within 3 months after the surgery (mRS≤2) reached 57.14% of patients (n=8).

Conclusion

Studies suggest that endovascular techniques are effective and safe in the treatment of ischemic stroke. Greater efficiency is characterized by intraarterial thrombolysis. Patients who were treated endovascular improved significantly.

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Neurologia i Neurochirurgia Polska