Results of the thombectomy for acute ischemic stroke beyond 6 hours from onset at Bach Mai Hospital

https://doi.org/10.52322/jocmbmh.121.04

Abstract

Objectives: To evaluate the results of the thombectomy for acute ischemic stroke beyond 6 hours from onset at Bach Mai hospital 2019.

Material and Methods: This was a retrospective review of patients with acute ischemic stroke beyond 6 hours from onset due to LVO who were diagnosed and underwent mechanical thrombectomy at Bach Mai Hospital from January 2019 to December 2019.

Results: Seventeen patients (41.2% female; age: 66.2 years) met study criteria. Successful recanalization (thrombolysis in cerebral infarction 2b-3) was achieved in 88.2% of patients. Good functional outcome (Modified Rankin Scale 0–2) was achieved in 47%, with poor functional outcome in 24.7%. The 90-day mortality rate was 17.6%. The hemorrhagic transformation rate was 47.1%, in which over 40% were symptomatic.

Conclusion: Mechanical thrombectomy for acute ischemic stroke beyond 6 hours from onset due to LVO is a method that yielded good results in recanalization and clinical recovery in Bach Mai Hospital patient population.