Mechanical thrombectomy with solitaire stent in acute ischemic stroke patients: Our first experiences [Akut iskemik i·nmeli olgularda solitaire stent ile mekanik trombektomi: İlk deneyimlerimiz]

Introduction: Intravenous thrombolysis or endovascular treatment for occluded vessel in acute ischemic stroke patients reduces mortality and effects prognosis. Mechanical thrombectomy shows better results than intravenous thrombolytic treatment on proximal vessel occlusions. In this study, we aimed to evaluate efficiency of Solitaire stent based mechanical thrombectomy for acute ischemic stroke patients who has proximal vessel occlusion, and its impact on prognosis of these patients. Material and Method: Data of eleven patients, who applied to Ege University Medical School Emergency Department between March 2012 -May 2013 with acute ischemic stroke diagnosis due to proximal vessel occlusion and treated with mechanical thrombectomy collected retrospectively. İnclusion criterias were: 1)Age between 18-80, 2)NIHSS ?10 at admission, 3)ICA or ASM occlusion found on cranial and neck CT angio, 4)symptom duration? 6 hours, 5) no contrindication for reperfusion theraphy. Results: Eleven patients treated with mechanical thrombectomy(8female/3male), and mean age of these patients were 59(min34, max 75). The mean symptom to door time was 98 minutes(30-180 minutes). Demographic data, application time, time to treatment, additional treatments, complications, NIHSS at 0 and 24 hour and mRS at discharge were evaluated. Conclusion: The main aim of acute stroke treatment is revascularizaion of occluded vessel as quickly as possible. Intravenous thrombolytic treatment is the standard treatment procedure for acute ischemic stroke. Intraarterial treatment options must be inside of our treatment strategies for the patients with acute ischemic stroke diagnosis and who had proximal vessel occlusion