J Med Assoc Thai 2017; 100 (5):588

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Original ArticleOpen Access
Results of Endovascular Mechanical Thrombectomy for Acute Ischemic Stroke in Siriraj Hospital
Churojana A Mail, Aurboonyawat T , Mongkolratnan A , Songsaeng D , Chankaew E , Withayasuk P , Sangpetngam B , Nilanont Y

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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