open access

Vol 51, No 3 (2017)
Original research articles
Submitted: 2016-09-29
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Evaluation of recanalisation treatment on posterior circulation ischemic stroke by Solitaire device—A multicenter retrospective study

Jianwu Long, Hao Qin, Hongqi Zhang
DOI: 10.1016/j.pjnns.2017.02.004
·
Neurol Neurochir Pol 2017;51(3):208-213.

open access

Vol 51, No 3 (2017)
Original research articles
Submitted: 2016-09-29

Abstract

Objectives

Posterior circulation ischemic stroke (PCIS), accounting for approximately 20% of total ischemic stroke, is a sever disease that associated with high rate of morbidity and mortality. Though the effectiveness of endovascular mechanical thrombectomy has been well demonstrated in many types of ischemic stroke, it is still unclear what the outcome is in posterior circulation ischemic stroke.

Methods and materials

In current study, data was collected from 139 Chinese patients who received endovascular mechanical thrombectomy treatment with Solitaire device after acute posterior circulation ischemic stroke. We measured the mortality, symptomatic intracranial hemorrhage (SICH) and National Institutes of Health Stroke Scale (NIHSS) to evaluate the safety of endovascular mechanical thrombectomy. Meanwhile, the clinical outcome of endovascular mechanical thrombectomy was also evaluated based on recanalisation rate, HIHSS, and the modified Rankin Scale (mRS).

Results

Recanalisation was successful in 124 (89.3%) patients after surgery. Herniation was the second fatal stroke complication, out of the 6 patients suffered from herniation, 3 patients (50%) died during surgery and 2 (33%) died after surgery. As for other stroke complications such as pulmonary infection, 1 patient (4.3%) died during surgery and 1 patient (4.3%) died 3 days after surgery.

Conclusion

Our findings indicate that endovascular mechanical treatment is a safe treatment which brings clear benefit to patients suffered from posterior circulation ischemic stroke, in both the recanalisation rate and functional outcomes.

Abstract

Objectives

Posterior circulation ischemic stroke (PCIS), accounting for approximately 20% of total ischemic stroke, is a sever disease that associated with high rate of morbidity and mortality. Though the effectiveness of endovascular mechanical thrombectomy has been well demonstrated in many types of ischemic stroke, it is still unclear what the outcome is in posterior circulation ischemic stroke.

Methods and materials

In current study, data was collected from 139 Chinese patients who received endovascular mechanical thrombectomy treatment with Solitaire device after acute posterior circulation ischemic stroke. We measured the mortality, symptomatic intracranial hemorrhage (SICH) and National Institutes of Health Stroke Scale (NIHSS) to evaluate the safety of endovascular mechanical thrombectomy. Meanwhile, the clinical outcome of endovascular mechanical thrombectomy was also evaluated based on recanalisation rate, HIHSS, and the modified Rankin Scale (mRS).

Results

Recanalisation was successful in 124 (89.3%) patients after surgery. Herniation was the second fatal stroke complication, out of the 6 patients suffered from herniation, 3 patients (50%) died during surgery and 2 (33%) died after surgery. As for other stroke complications such as pulmonary infection, 1 patient (4.3%) died during surgery and 1 patient (4.3%) died 3 days after surgery.

Conclusion

Our findings indicate that endovascular mechanical treatment is a safe treatment which brings clear benefit to patients suffered from posterior circulation ischemic stroke, in both the recanalisation rate and functional outcomes.

Get Citation

Keywords

Posterior circulation ischemic stroke, Endovascular mechanical thrombectomy, Multicenter retrospective study, Solitaire device, Artery recanalization

About this article
Title

Evaluation of recanalisation treatment on posterior circulation ischemic stroke by Solitaire device—A multicenter retrospective study

Journal

Neurologia i Neurochirurgia Polska

Issue

Vol 51, No 3 (2017)

Pages

208-213

DOI

10.1016/j.pjnns.2017.02.004

Bibliographic record

Neurol Neurochir Pol 2017;51(3):208-213.

Keywords

Posterior circulation ischemic stroke
Endovascular mechanical thrombectomy
Multicenter retrospective study
Solitaire device
Artery recanalization

Authors

Jianwu Long
Hao Qin
Hongqi Zhang

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