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Endovascular treatment of acute ischemic stroke – Own experience
- Department of Radiology and Nuclear Medicine, Medical University of Silesia, Katowice, Poland
- Medical Scientific Society under the Department of Radiology and Nuclear Medicine, Medical University of Silesia, Katowice, Poland
- Department of Neurology, Medical University of Silesia, Zabrze, Poland
- School of Technology, Katowice, Poland
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Abstract
Presentation of the own experience in the treatment of ischemic stroke using endovascular methods of simultaneous evaluation of their effectiveness and safety.
Materials and methodsThe 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).
ResultsIn 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).
ConclusionStudies 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.
Abstract
Presentation of the own experience in the treatment of ischemic stroke using endovascular methods of simultaneous evaluation of their effectiveness and safety.
Materials and methodsThe 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).
ResultsIn 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).
ConclusionStudies 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.
Keywords
rt-PA, NIHSS, mRS, DSA, MR-DWI, TICI, TIMI
Title
Endovascular treatment of acute ischemic stroke – Own experience
Journal
Neurologia i Neurochirurgia Polska
Issue
Pages
81-89
Page views
486
Article views/downloads
577
DOI
10.1016/j.pjnns.2015.01.007
Bibliographic record
Neurol Neurochir Pol 2015;49(2):81-89.
Keywords
rt-PA
NIHSS
mRS
DSA
MR-DWI
TICI
TIMI
Authors
Daniel Knap
Maciej Honkowicz
Tomasz Kirmes
Marcin Koroński
Mateusz Bukański
Marzena Kysiak
Bartosz Kadłubicki
Izabela Dymon
Dominik Sieroń
Jan Baron