Neurointerventional Treatment of Acute Ischemic Stroke: our Experience in Kaposvar, Hungary
Radnai, P.ét.; Szőts, M.ón.; Rádai, F.; Horváth, G.; Varga, C.; Fogas, J.án.; Szörényi Péter; Horváth Zoltán; Bajzik, G.áb.; Moizs, M.; Repa, I.; Nagy, F.; Vajda, Z.
Ideggyogyaszati Szemle 68(7-8): 252-257
2015
ISSN/ISBN: 0019-1442 PMID: 26380419 Document Number: 683719
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. 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. 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.