Mechanical Thrombectomy
Mechanical thrombectomy for acute large vessel occlusion stroke with mild symptoms
Jian Chen, Liqun Jiao, Guilin Li, Shiwei Du, Hongqi Zhang, Xunming Ji
Published 2018-03-28
Cite as Chin J Neurosurg, 2018, 34(3): 231-234. DOI: 10.3760/cma.j.issn.1001-2346.2018.03.004
Abstract
ObjectiveTo evaluate the safety and efficacy of mechanical thrombectomy for acute large vessel occlusion stroke (LVO) with mild symptoms.
MethodsA retrospective analysis was conducted on 16 patients with LVO and National Institutes of Health Stroke Scale (NIHSS) score <6, who were admitted to Department of Neurosurgery, Xuanwu Hospital, Capital Medical University from April 2014 to November 2017. Among them, 5 cases had occlusion in middle cerebral artery (MCA) and included 2 cases in M1 and 3 cases in M2. In addition, there were 1 case with anterior cerebral artery (ACA) occlusion and 8 cases with vertebral-basilar artery occlusion. Besides thrombectomy, 6 cases with severe stenosis of large artery underwent acute angioplasty.
ResultsSuccessful reperfusion[thrombolysis in cerebral infarction (TICI) score of 2b-3] was achieved in all 16 patients. One case developed symptomatic hemorrhage after recanalization. There were no procedure-related complications. At 90 days, 13 patients obtained good outcome: the modified Rankin scale (mRS) of 0 was reported in 8 patients, 1 in 2, 2 in 3 and 6 (death) in 1 case.
ConclusionEndovascular mechanical thrombectomy appears to be safe and effective in patients presenting with mild stroke symptoms and acute large vessel occlusion.
Key words:
Stroke; Arterial occlusive diseases; Mild; Mechanical thrombectomy
Contributor Information
Jian Chen
Department of Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing 100053, China
Liqun Jiao
Guilin Li
Shiwei Du
Hongqi Zhang
Xunming Ji
