NEUROINTERVENTIONAL TREATMENT OF ACUTE ISCHEMIC STROKE: THE KAPOSVAR EXPERIENCE

被引：1

作者：

Radnai Peter ^{[1
]}

Szots Monika ^{[1
]}

Radai Ferenc ^{[1
]}

Horvath Gyula ^{[2
]}

Varga Csaba ^{[3
]}

Fogas Janos ^{[4
]}

Szoerenyi Peter ^{[4
]}

Horvath Zoltan ^{[5
]}

Bajzik Gabor ^{[7
]}

Moizs Mariann ^{[6
]}

Repa Imre ^{[6
,7
]}

Nagy Ferenc ^{[1
]}

Vajda Zsolt ^{[6
,7
]}

机构：

[1] Somogy Megyei Kaposi Mor Oktato Korhaz, Neurol Osztaly, H-7400 Kaposvar, Hungary

[2] Somogy Megyei Kaposi Mor Oktato Korhaz, Radiol Osztaly, Kaposvar, Hungary

[3] Somogy Megyei Kaposi Mor Oktato Korhaz, Surgossegi Betegellato Ctr, Kaposvar, Hungary

[4] Somogy Megyei Kaposi Mor Oktato Korhaz, Intenz Terapias Osztaly, Kaposvar, Hungary

[5] Somogy Megyei Kaposi Mor Oktato Korhaz, Idegsebeszeti Osztaly, Kaposvar, Hungary

[6] Somogy Megyei Kaposi Mor Oktato Korhaz, Neurovaszkularis Intervencios Egyseg, Kaposvar, Hungary

[7] Somogy Megyei Kaposi Mor Oktato Korhaz, Egeszsegugyi Ctr, Kaposvar, Hungary

来源：

IDEGGYOGYASZATI SZEMLE-CLINICAL NEUROSCIENCE | 2015年 / 68卷 / 7-8期

关键词：

ischemic stroke; interventional neuroradiology; intravenous lysis; stent-retriever thrombectomy; TRIAL;

D O I：

10.18071/isz.68.0252

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Aim of the study - In the present study, we report procedural and mid-term functional outcome data on the first 50 neurointerventional treatments of acute ischemic stroke in the Kaposi Mor County Hospital, Kaposvar, Hungary. Materials and methods - Endovascular recanalization of occluded large cervical and intracranial arteries was performed following an unsuccessful intravenous lysis or when intravenous lysis was contraindicated. A control cohort was retrospectively formed by analyzing data of 16 patients who has been unsuccesfully treated with iv. lysis before neurointervention was available in our hospital. Results and conclusion - Recanalization rate was 84% and major complication rate was 2% in the neurointerventional group. Mid-term good functional outcome, defined as mRS 0-2, was achieved in 44% in the neurointerventional and in 13% in the intravenous lysis group, after 11.5 and 39.7 months follow-up period, respectively. Subgroup analysis revealed patient age as the strongest predictive factor of good functional outcome. Our data shows that neurointerventional treatment of acute ischemic stroke gives substantially improved functional outcome, in accordance with the results of the recently published international randomized trials.

引用

页码：252 / 257

页数：6

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