Mechanical Thrombectomy for Acute Ischemic Stroke in A Mekong Delta Medical University Hospital

Abstract

Introduction: Mechanical thrombectomy has become more and more common in the treatment of acute cerebral ischemic stroke. We report our 3-year outcomes of mechanical thrombectomy for ischemic stroke.
 Method and subjects: A descriptive study was conducted cross-sectionally. Each patient with a National Institute of Health Stroke Scale (NIHSS) score of 10 or higher who presented to our hospital within eight hours of the onset of the first symptom would be considered. The mechanical thrombectomy procedure is performed with aspiration techniques or in combination with stent retrievers, with or without rescue angioplasty and stenting.
 Results: From January 1st, 2018, to December 31st, 2020 (36 months), a total of 53 patients were included. Forty-four (44) patients had thrombectomy only, and another 9 patients had thrombectomy with stenting. The total technical success rates were 47/53 (88.6%). The death rate was 15/53 (28.3%). There were 31/53 patients (58.4%) who had significant recovery in motor movement, language, and cognition within 2 months.
 Conclusion: Our revascularization rate of mechanical thrombectomy was 88.6% with 58.4% of patients showing improved outcomes.