Endovascular treatment of acute ischemic stroke - own experience.

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 157 min. 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.

• Authors: Daniel Knap, Maciej Honkowicz, Tomasz Kirmes, Marcin Koroński, Mateusz Bukański, Marzena Kysiak, Bartosz Kadłubicki, Izabela Dymon, Dominik Sieroń, Jan Baron
• Journal: Neurologia i neurochirurgia polska (Neurol Neurochir Pol) Vol. 49 Issue 2 Pg. 81-9 ( 2015) ISSN: 0028-3843 [Print] Poland
• PMID: 25890921 (Publication Type: Journal Article)
• Copyright: Copyright © 2015 Polish Neurological Society. Published by Elsevier Urban & Partner Sp. z o.o. All rights reserved.

Topics

• Adolescent
• Adult
• Aged
• Angiography, Digital Subtraction
• Brain Ischemia (surgery)
• Cerebral Revascularization
• Embolization, Therapeutic
• Endovascular Procedures (adverse effects, methods)
• Female
• Humans
• Male
• Middle Aged
• Neurosurgical Procedures (adverse effects, methods)
• Patient Safety
• Retrospective Studies
• Stroke (surgery)
• Thrombolytic Therapy
• Treatment Outcome
• Young Adult