Early effect of mechanical thrombectomy in patients with acute basilar artery occlusion

  • Nguyen Cong Thanh 108 Military Central Hospital
  • Pham Thai Dung 103 Military Hospital
  • Nguyen Van Tuyen 108 Military Central Hospital
  • Le Van Tuyen 108 Military Central Hospital
  • Nguyen Trong Tuyen 108 Military Central Hospital
  • Luong Tuan Anh 108 Military Central Hospital
  • Tran Xuan Thuy 108 Military Central Hospital
  • Nguyen Van Phuong 108 Military Central Hospital
  • Le Xuan Duong 108 Military Central Hospital

Main Article Content

Keywords

Acute ischemic stroke, basilar artery occlusion, mechanical thrombectomy

Abstract

Summary


Objective: To evaluate the efficacy and safety of mechanical thrombectomy (MT) in patients with acute basilar artery occlusion (ABAO). Subject and method: A prospective study of 49 patients (13 women, 36 men, mean age 67.6 ± 10.4 years) with acute basilar artery occlusion (ABAO) who were treated by MT from November 2018 to May 2020. Successful recanalization rate (modified Treatment in Cerebral Ischemia scale (mTICI), 2b-3), neurological recovery after 30 days (modified Rankin Scale: mRS), intervention time, symptomatic intracerebral hemorrhage (sICH) rate, futile recanalization rate were assessed. Result: Median NIHSS and Glasgow scale on admission were 22.9 ± 11.3 and 10.4 ± 3.1 respectively. Median procedure time was 71.9 ± 52.4 (range, 5 - 265 minutes). Successful recanalization (TICI 2b, 3) rate was achieved 100%. Good neurological recovery rate (modified Rankin Scale: mRS ≤ 2) and mortality after 30 days were 44.9% and 34.7%. Symptomatic intracerebral hemorrhage (sICH) rate and futile recanalization rate were 15.5% (5/32) and 55.1%, respectively. Conclusion: MT in patients with ABAO within 24 hours of stroke onset had a high successful recanalization rate (100%), futile recanalization rate was more than a haft (55.1%). The rate of functional independence (mRS score of 0 to 2) at 30 days was 44.9% and mortality was over one-third of patients (34.7%).


Keywords: Acute ischemic stroke, basilar artery occlusion, mechanical thrombectomy.

Article Details

References

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Published
Jul 7, 2020
Issue
Volume 15 - No 7/2020
Section
Articles
How to Cite
Cong ThanhN., Thai DungP., Van TuyenN., Van TuyenL., Trong TuyenN., Tuan AnhL., Xuan ThuyT., Van PhuongN., & Xuan DuongL. (2020). Early effect of mechanical thrombectomy in patients with acute basilar artery occlusion. Tạp Chí Y Dược lâm sàng 108, 15(7). Retrieved from https://tcydls108.benhvien108.vn/index.php/YDLS/article/view/466