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Published in: Neuroradiology 6/2014

Open Access 01-06-2014 | Interventional Neuroradiology

Mechanical thrombectomy in acute ischemic stroke—experience from 6 years of practice

Authors: Åsa Kuntze Söderqvist, Magnus Kaijser, Michael Söderman, Staffan Holmin, Nils Wahlgren, Tommy Andersson

Published in: Neuroradiology | Issue 6/2014

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Abstract

Introduction

We present our results from the first 6 years with mechanical thrombectomy in the treatment of ischemic stroke.

Methods

Every patient treated with mechanical thrombectomy for acute ischemic stroke from September 2005 to December 2011 was consecutively included in this retrospective analysis. Baseline and outcome data were retrieved from computerized records at the hospital. National Institute of Health Stroke Scale (NIHSS) score and the modified Rankin Scale (mRS) score were used as outcome parameters. Favorable outcome was defined as a mRS score of 0–2, corresponding to independence in activities of daily living. We also evaluated revascularization and severe adverse events, with focus on symptomatic intracranial hemorrhage.

Results

Good functional outcome (mRS 0–2) was achieved in 50 % (120/240) of all patients. For patients with no neurological deficit prior to stroke onset (i.e., mRS = 0 before stroke), the proportion with good functional outcome was 54 %. Symptomatic hemorrhages occurred in 4.6 % of the cases (5.7 % in the anterior circulation).

Conclusion

In summary, our results supports that mechanical thrombectomy is a safe and effective method to restore blood flow in selected patients suffering from an acute ischemic stroke.
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Metadata
Title
Mechanical thrombectomy in acute ischemic stroke—experience from 6 years of practice
Authors
Åsa Kuntze Söderqvist
Magnus Kaijser
Michael Söderman
Staffan Holmin
Nils Wahlgren
Tommy Andersson
Publication date
01-06-2014
Publisher
Springer Berlin Heidelberg
Published in
Neuroradiology / Issue 6/2014
Print ISSN: 0028-3940
Electronic ISSN: 1432-1920
DOI
https://doi.org/10.1007/s00234-014-1353-z

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