Az akut ischaemiás stroke neurointervenciós kezelésével szerzett kaposvári tapasztalataink

Péter Radnai, Mónika Szots, Ferenc Rádai, Gyula Horváth, Csaba Varga, János Fogas, Péter Szörényi, Zoltán Horváth, Gábor Bajzik, Mariann Moizs, Imre Repa, Ferenc Nagy, Zsolt Vajda

Research output: Article

Abstract

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 Mór County Hospital, Kaposvár, 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.

Translated title of the contributionNeurointerventional treatment of acute ischemic stroke: The kaposvár experience
Original languageHungarian
Pages (from-to)252-257
Number of pages6
JournalIdeggyogyaszati szemle
Volume68
Issue number7-8
DOIs
Publication statusPublished - júl. 30 2015

Keywords

  • Interventional neuroradiology
  • Intravenous lysis
  • Ischemic stroke
  • Stent-retriever thrombectomy

ASJC Scopus subject areas

  • Neurology
  • Clinical Neurology

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  • Cite this

    Radnai, P., Szots, M., Rádai, F., Horváth, G., Varga, C., Fogas, J., Szörényi, P., Horváth, Z., Bajzik, G., Moizs, M., Repa, I., Nagy, F., & Vajda, Z. (2015). Az akut ischaemiás stroke neurointervenciós kezelésével szerzett kaposvári tapasztalataink. Ideggyogyaszati szemle, 68(7-8), 252-257. https://doi.org/10.18071/isz.68.0252