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Endovascular Therapy of Acute Ischemic Stroke by Interventional Cardiologists: National Initial Experience

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Date
2013-10-29
Authors
TASAL, Abdurrahman
Bacaksiz, AHMET
VATANKULU, Mehmet Akif
SONMEZ, Osman
TURFAN, Murat
ERDOGAN, Ercan
KARADELI, Hasan Huseyin
Kolukisa, MEHMET
KUL, Seref
ALTINTAS, Ozge
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Abstract
Objectives: We report our initial experience with thrombectomy devices in patients with acute ischemic stroke. Study design: Demographic, clinical, and angiographic findings of 19 consecutive patients (7 females and 12 males; mean age 61.4±12.5 years) with acute ischemic stroke were evaluated retrospectively. Results: 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 11, distal in 8 and tandem occlusions in 7 patients). Successful revascularization was 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 2 (11%) cases. None of the patients had experienced post-procedural symptomatic intracerebral hemorrhage; 3 patients died during the three-month follow-up. In all patients, thrombectomy was performed with retrievable Solitaire AB stent system. Conclusion: This single-center experience with mechanical thrombectomy devices demonstrated that high success rates can be achieved by experienced interventional cardiologists in equipped cath labs throughout the country.
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TASAL A., Bacaksiz A., VATANKULU M. A. , SONMEZ O., TURFAN M., ERDOGAN E., KARADELI H. H. , Kolukisa M., KUL S., ALTINTAS O., et al., -Endovascular Therapy of Acute Ischemic Stroke by Interventional Cardiologists: National Initial Experience-, 29th Turkish Cardiology Congress of the Turkish-Society-of-Cardiology (TSC) with International Participation, Antalya, Türkiye, 26 - 29 October 2013, cilt.62
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