Ischemic stroke treated with mechanical thrombectomy: 3 year data from stroke registry in Al Ain Hospital, UAE

Abstract

Mechanical thrombectomy with or without iv thrombolysis is indicated for treatment of acute ischemic stroke due to large vessel occlusion. The Stroke Unit in Al Ain Hospital in Al Ain, UAE is CCPC-accredited in ischemic strokes. We present the results of mechanical thrombectomy for acute ischemic stroke from our unit. We analysed data from our comprehensive Stroke Registry. Baseline demographics including age, gender, baseline NIHSS, stroke subtype, imaging results, type of intervention, type of endovascular device used, symptom onset to groin puncture time, complications, mortality and mRS at discharge were analysed. A total of 17 patients were treated during the 36 month period starting January 2016 with mechanical thrombectomy. Age range was from 36 year to 82 years. 13 males and 4 females. Baseline NIHSS varied from 11 to 30. 3 patients had additional stenting done. 90% showed occlusion in anterior circulation. Intravenous rtpA was given in 44% of patients. Average Symptom to Groin puncture Time (STG) was 224 minutes. 88% of patients showed complete recanalisation (TICI 2b/3) immediately after the procedure. No immediate complications were seen in any of the patients. Mortality rate was 24%. At discharge, 24% achieved mRS score of ≤ 2; 29% achieved mRS score of 3-4. We conclude that mechanical thrombectomy was successful radiologically and good or moderate clinical outcome was achieved in 53% of patients.