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Original ArticleOpen Access
Results of Endovascular Mechanical Thrombectomy for Acute Ischemic Stroke in Siriraj Hospital
Churojana A ,
Aurboonyawat T ,
Mongkolratnan A ,
Songsaeng D ,
Chankaew E ,
Withayasuk P ,
Sangpetngam B ,
Nilanont Y
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Churojana A, Aurboonyawat T, Mongkolratnan A, Songsaeng D, Chankaew E, Withayasuk P, Sangpetngam B, et al. Results of Endovascular Mechanical Thrombectomy for Acute Ischemic Stroke in Siriraj Hospital. J Med Assoc Thai 2017;100:588.
Objective: Endovascular mechanical thrombectomy has become a treatment option for acute ischemic stroke patients who have contraindications for intravenous recombinant tissue plasminogen activator (rt-PA) or who missed the 4.5-hours therapeutic window at Siriraj hospital. The purpose of the present study was to evaluate the initial result of the treatment at Siriraj Hospital.
Material and Method: A retrospective review of all patients with acute ischemic stroke who underwent treatment by endovascular mechanical thrombectomy at Siriraj Hospital from November 2009 to August 2012 was performed.
Results: There were 41 patients who had at least 30 day-period follow up. The mean age was 61.4±14.5 years. The initial mean NIHSS was 19.4±5.52. Successful recanalization rate was documented in 92.7% of patients. Good clinical outcome (modified Rankin Scale scores equal or lesser than 2) at mean 16-month follow-up time was found in 34.15%.
Conclusion: Endovascular mechanical thrombectomy is the option of treatment for large vessel acute ischemic stroke can help rescuing those patients who have contraindications for intravenous rt-PA or who miss the golden time window.
Keywords: Acute ischemic stroke, Mechanical thrombectomy, Treatment of acute ischemic stroke
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