Endovascular treatment of acute ischemic stroke - own experience
| Autor: | Mateusz Bukański, Daniel Knap, Maciej Honkowicz, Marzena Kysiak, Izabela Dymon, Bartosz Kadlubicki, Dominik Sieroń, Marcin Koroński, Tomasz Kirmes, Jan Baron |
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| Rok vydání: | 2014 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent medicine.medical_treatment Embolectomy Revascularization Neurosurgical Procedures Brain Ischemia Young Adult Medicine Humans Thrombolytic Therapy Stroke Aged Retrospective Studies medicine.diagnostic_test Cerebral Revascularization business.industry Endovascular Procedures Angiography Digital Subtraction Retrospective cohort study Interventional radiology Thrombolysis Middle Aged medicine.disease Embolization Therapeutic Surgery medicine.anatomical_structure Treatment Outcome Female Neurology (clinical) Patient Safety business TIMI Artery |
| Zdroj: | Neurologia i neurochirurgia polska. 49(2) |
| ISSN: | 0028-3843 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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