الفهرس 
? Anatomy of the Cerebral CirculationOnly 14 pages are availabe for public view
 |  | from | 268 |  |  |
| | | from | 268 | | |
Abstract
Background: Based on the World Health Organization (WHO)
statistics, there are 15 million strokes annually. The aim of the
treatment in acute ischemic stroke is rapid restoration of perfusion to
the ischemic area by minimizing the time between the occurrence of
symptoms and the treatment. This is crucial for saving the
salvageable brain tissue (penumbra) by restoration of flow and
metabolism to normal
Aim of work: The aim of work is to evaluate the safety and efficacy
of endovascular thrombectomy (EVT) in patients presenting 6-12
hours from onset of stroke symptoms secondary to large vessel
occlusion.
Patients and Methods: 50 Patients presenting with acute ischemic
stroke with causative occlusion of major vessels in anterior
circulation, underwent mechanical thrombectomy
Results: Two-thirds of the patients had their intracranial arterial
occlusion at M1 segment of the middle cerebral artery. The median
baseline NIHSS score, ASPECTS, and mRS score of the studied
patients was 16 (IQR 11-20), 8 (IQR 7-9) and 0 (IQR 0-1),
respectively. The median final infarct volume, NIHSS score,
ASPECTS post-intervention and mRS score at 90 days of the studied
patients was 40 ml (IQR 26.5-70) (P <0.001), 9 (IQR 4-16) (P
<0.001), 8(IQR 5-9) (P <0.01), and 2 (IQR1-4) (P <0.001),
respectively and (90 %) of them had revascularization type TICI 2b 3. More than half of the studied patients (52%) had mRS score at 90
days of ≤2 and mortality rate was 12%.
Conclusions: The current study showed that endovascular
thrombectomy techniques are safe and effective in the treatment of
acute ischemic stroke.