Neurointerventional treatment of acute ischemic stroke: the Kaposvár experience
| Autor: | Gábor Bajzik, Szörényi Péter, Csaba Varga, Ferenc Nagy, Mariann Moizs, Mónika Szőts, Horváth Zoltán, Péter Radnai, Zsolt Vajda, János Fogas, Gyula Horváth, Ferenc Radai, Imre Repa |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
medicine.medical_specialty
medicine.diagnostic_test business.industry Retrospective cohort study Subgroup analysis medicine.disease Surgery law.invention Neurology Randomized controlled trial law Anesthesia Predictive value of tests Cohort medicine Neurology (clinical) business Stroke Interventional neuroradiology Cerebral angiography |
| Zdroj: | Ideggyógyászati szemle. 68:252-257 |
| ISSN: | 0019-1442 |
| DOI: | 10.18071/isz.68.0252 |
| Popis: | AIM OF THE STUDY: In the present study, we report procedural and mid-term functional outcome data on the first 50 neurointerventional treatments of acute ischemic stroke in the Kaposi Mor County Hospital, Kaposvar, Hungary. MATERIALS AND METHODS: Endovascular recanalization of occluded large cervical and intracranial arteries was performed following an unsuccessful intravenous lysis or when intravenous lysis was contraindicated. A control cohort was retrospectively formed by analyzing data of 16 patients who has been unsuccesfully treated with iv. lysis before neurointervention was available in our hospital. RESULTS AND CONCLUSION: Recanalization rate was 84% and major complication rate was 2% in the neurointerventional group. Mid-term good functional outcome, defined as mRS 0-2, was achieved in 44% in the neurointerventional and in 13% in the intravenous lysis group, after 11.5 and 39.7 months follow-up period, respectively. Subgroup analysis revealed patient age as the strongest predictive factor of good functional outcome. Our data shows that neurointerventional treatment of acute ischemic stroke gives substantially improved functional outcome, in accordance with the results of the recently published international randomized trials. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|