Endovascular acute ischemic stroke treatment: Analysis of the first 100 cases

Abstract

Background And Aims: Stroke account for 15% of all deaths in Turkey. In acute ischemic stroke, neuronal damage continues every minute until the occluded vessel is opened. Today, the most important treatment of acute ischemic stroke is the rapid and effective opening of the occluded vessel. In this study, we aimed to share our experience of endovascular treatment of stroke patients in our center Methods: Between January 2015 – November 2018 We recorded clinical and demographic characteristics and endovascular procedure characteristics of the first 100 consecutive acute ischemic stroke patients who underwent endovascular treatment. Results: Of the 100 patients included in the study, 49 were female and 51 were male, and the median age was 65 (55-74). Hypertension in 74%, hyperlipidemia in 25%, diabetes mellitus in 38%, atrial fibrillation in 26%, coronary artery disease in 36%, and smoking in 39% was found in our patients. The Median NIHSS score was 15.5(13-19) prior to treatment. At the 3-month follow-up, 31 patients died and the mortality rate was 31%. At the end of the third month, good outcome were observed in 40% of patients (modified Rankin scale score 0–2). Our effective recanalization rate [Thrombolysis in Cerebral Infarction (TICI2b-3)] was found to be 75%. Conclusions: Patients with large vessel occlusion should be referred to centers where endovascular treatment facilities are available at the earliest period. Better results can be achieved as experience of endovascular treatment in centers increases