open access

Vol 49, No 2 (2015)
Original research articles
Submitted: 2014-10-21
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Endovascular treatment of acute ischemic stroke – Own experience

Daniel Knap, Maciej Honkowicz, Tomasz Kirmes, Marcin Koroński, Mateusz Bukański, Marzena Kysiak, Bartosz Kadłubicki, Izabela Dymon, Dominik Sieroń, Jan Baron
DOI: 10.1016/j.pjnns.2015.01.007
·
Neurol Neurochir Pol 2015;49(2):81-89.

open access

Vol 49, No 2 (2015)
Original research articles
Submitted: 2014-10-21

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.

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.

Get Citation

Keywords

rt-PA, NIHSS, mRS, DSA, MR-DWI, TICI, TIMI

About this article
Title

Endovascular treatment of acute ischemic stroke – Own experience

Journal

Neurologia i Neurochirurgia Polska

Issue

Vol 49, No 2 (2015)

Pages

81-89

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

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