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.



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).


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).


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