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Apr 24, 2019

ESOC-2019

EVALUATION OF THE EFFECTIVENESS OF CAROTID ARTERY STENTING IN PATIENTS WITH ACUTE ISCHEMIC STROKE

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ischemic

carotid artery

stenting

time intervals

endovascular

Abstract

Abstract

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Keywords

ischemic

carotid artery

stenting

time intervals

endovascular

Abstract

EVALUATION OF THE EFFECTIVENESS OF CAROTID ARTERY STENTING IN PATIENTS WITH ACUTE ISCHEMIC STROKE Co-authors Y. Lykov1, I. Kovalenko2, Z. Chefranova1, V. Polyansky2, Y. Gubarev3, E. Yatsenko3, A. Grigorenko3. 1St. Joasaph Belgorod Regional Clinical Hospital, Neurology, Belgorod, Russia. 2St. Joasaph Belgorod Regional Clinical Hospital, Endovascular surgery, Belgorod, Russia. 3Belgorod State National Research University, Neurology, Belgorod Belgorod region, Russia. Background and Aims: We evaluated the effectiveness of carotid artery stenting in patients with atherothrombotic ischemic stroke admitted for treatment outside the therapeutic window. Methods: 120 patients with atherothrombotic ischemic stroke treated for the period from January 2017 to December 2018 were retrospectively analyzed. First group: 56 patients with stenting of ICA (internal carotid artery) in the first 24 hours after stroke. Second (control): 64 patients who received only medication. Results: Results. Patients with stenting by 10 days had a significant improvement on NIHSS scale. By 21 days this result improves and average score drops. There was a significant increase in number of patients without or with minor disorders on RS (Rankin scale) by 10 days of treatment. In control group was a decrease in NIHSS score and an increase of patients without or with minor disorders. Hemorrhagic symptomatic transformation was in 10 patients who received stenting, and in 3 cases in control group. Mortality rate: 12.5% ​​and 16% respectively. 3 patients in first group died from brain edema, combined with hemorrhagic transformation of parenchymal hematoma-1. Conclusions: Among patients who received carotid artery stenting by the 10th day there was positive dynamic and 32% did not have any disabilities. Patients without surgical treatment didn’t have such dynamics. Despite the hemorrhagic transformation after endovascular treatment, mortality rate is lower than in patients who received only conservative traditional therapy. To assess the effectiveness of carotid artery stenting, further study of endovascular treatment experience of stroke at different time intervals from the onset of disease is required.

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© Copyright 2019 Morressier GmbH.
All rights reserved.