ISSN 1016-5169 | E-ISSN 1308-4488
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Endovascular therapy of acute ischemic stroke by interventional cardiologists: initial national experience [Turk Kardiyol Dern Ars]
Turk Kardiyol Dern Ars. 2013; 41(8): 683-690 | DOI: 10.5543/tkda.2013.48313

Endovascular therapy of acute ischemic stroke by interventional cardiologists: initial national experience

Abdurrahman Tasal1, Ahmet Bacaksiz1, Mehmet Akif Vatankulu1, Talip Asil2, Omer Goktekin1
1Department of Cardiology, Bezmialem Vakif University Faculty of Medicine, Istanbul
2Department of Neurology, Bezmialem Vakif University Faculty of Medicine, Istanbul


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.

Keywords: Embolectomy/instrumentation, fibrinolytic agents/therapeutic use, stents, stroke/therapy; thrombectomy/instrumentation; Turkey.

How to cite this article
Abdurrahman Tasal, Ahmet Bacaksiz, Mehmet Akif Vatankulu, Talip Asil, Omer Goktekin. Endovascular therapy of acute ischemic stroke by interventional cardiologists: initial national experience. Turk Kardiyol Dern Ars. 2013; 41(8): 683-690

Corresponding Author: Abdurrahman Tasal, Türkiye
Manuscript Language: English


Journal Metrics

Journal Citation Indicator: 0.18
CiteScore: 1.1
Source Normalized Impact
per Paper:
0.22
SCImago Journal Rank: 0.348

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