Author + information
- Abdurrahman Tasal1,
- Ahmet Bacaksiz1,
- Mehmet Akif Vatankulu1,
- Osman Sonmez1,
- Murat Turfan1,
- Ercan Erdogan1,
- Hasan Huseyin Karadeli2,
- Mehmet Kolukısa2,
- Seref Kul1,
- Ozge Altıntas2,
- Talip Asil2 and
- Omer Goktekin1
We reported our initial experience with thrombectomy devices in patients with acute ischemic stroke.
Demographic, clinical, and angiographical findings of nineteen consecutive patients (mean age 61.4±12.5 years; 7 females and 12 males) with acute ischemic stroke were evaluated retrospectively.
The mean initial National Institutes of Health Stroke Scale (NIHSS) score was 19.5±5.6. Middle cerebral artery was the occluded artery in all of the patients (proximal occlusion in eleven, distal in eight and tandem occlusions in seven patients). Successful revascularization achieved in 16 patients (84%). The mean NIHSS score was 8.4±8.2 at 24 hours after the procedure, and 60% of patients showed a modified Rankin scale score of ≤2 at 90 days. New occlusion by migrated emboli was observed in two (11%) cases. No patients experienced post-procedural symptomatic intracerebral hemorrhage and three patients died during three months follow up. In all patients thrombectomy was performed with retrievable Solitaire AB stent system.
This single center experience with mechanical thrombectomy devices demonstrated that it could be performed with high success rates by experienced interventional cardiologists in accoutered cath labs all over the country.
|Patients||Age/Gender||NIHSS on presentation||NIHSS on discharge||mRS on presentation||mRS on|
|Artery site occluded||Recanalization time||No of devices passes||TICI postprocedure|
NIHSS = National Institutes of Health Stroke Scale, TICI = thrombolysis in cerebral infarction, mRS = modified Rankin Scale, ICA = internal carotid artery, MCA = middle cerebral artery