title: Endovascular treatment of acute ischemic stroke - own experience.
abstract: OBJECTIVE
  Presentation of the own experience in the treatment of ischemic stroke using endovascular methods of simultaneous evaluation of their effectiveness and safety.
  
  
  METHODS
  The retrospective study involved a group of 18 patients hospitalized in 2005-2012 who were treated with intraarterial thrombolysis and mechanical thrombectomy. Overall there were 24 procedures performed. The investigated group consisted of seven (38.89%) women and 11 (61.11%) men. The average age of the patients was 60 years (SD ± 17, median - 60 years).
  
  
  RESULTS
  In 62.50% of cases (n=15) the effect of revascularization has been achieved and another 12.50% of cases (n=3) recanalization was achieved only partially. Only in 25% of procedures (n=6) failed to achieve recanalization of the artery (TICI ≤ 1). The highest percentage of recanalized arteries were obtained by following the procedure of thrombolysis targeted - 69.24% (TICI ≥ 2b). In the case of mechanical thrombectomy total patency (TICI ≥ 2b) was 54.55%. The average duration of treatment (operation) is 157 min. After 30 days successful result of the neurological status was achieved in 57.14% of patients (n=8). Full return to independent functioning as defined within 3 months after the surgery (mRS ≤ 2) reached 57.14% of patients (n=8).
  
  
  CONCLUSIONS
  Studies suggest that endovascular techniques are effective and safe in the treatment of ischemic stroke. Greater efficiency is characterized by intraarterial thrombolysis. Patients who were treated endovascular improved significantly.
authors.affiliation: Department of Radiology and Nuclear Medicine, Medical University of Silesia, Katowice, Poland.
authors.forename: Daniel
authors.initials: D
authors.lastname: Knap
authors.affiliation: Medical Scientific Society under the Department of Radiology and Nuclear Medicine, Medical University of Silesia, Katowice, Poland. Electronic address: m.honkowicz@gmail.com.
authors.forename: Maciej
authors.initials: M
authors.lastname: Honkowicz
authors.affiliation: Medical Scientific Society under the Department of Radiology and Nuclear Medicine, Medical University of Silesia, Katowice, Poland.
authors.forename: Tomasz
authors.initials: T
authors.lastname: Kirmes
authors.affiliation: Medical Scientific Society under the Department of Radiology and Nuclear Medicine, Medical University of Silesia, Katowice, Poland.
authors.forename: Marcin
authors.initials: M
authors.lastname: Koroński
authors.affiliation: Medical Scientific Society under the Department of Radiology and Nuclear Medicine, Medical University of Silesia, Katowice, Poland.
authors.forename: Mateusz
authors.initials: M
authors.lastname: Bukański
authors.affiliation: Medical Scientific Society under the Department of Radiology and Nuclear Medicine, Medical University of Silesia, Katowice, Poland.
authors.forename: Marzena
authors.initials: M
authors.lastname: Kysiak
authors.affiliation: Medical Scientific Society under the Department of Radiology and Nuclear Medicine, Medical University of Silesia, Katowice, Poland.
authors.forename: Bartosz
authors.initials: B
authors.lastname: Kadłubicki
authors.affiliation: Department of Neurology, Medical University of Silesia, Katowice, Poland.
authors.forename: Izabela
authors.initials: I
authors.lastname: Dymon
authors.affiliation: School of Technology, Katowice, Poland.
authors.forename: Dominik
authors.initials: D
authors.lastname: Sieroń
authors.affiliation: Department of Radiology and Nuclear Medicine, Medical University of Silesia, Katowice, Poland.
authors.forename: Jan
authors.initials: J
authors.lastname: Baron
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D015901:Angiography, Digital Subtraction; D002545:Brain Ischemia / Q000601:surgery*; D002548:Cerebral Revascularization; D004621:Embolization, Therapeutic; D057510:Endovascular Procedures / Q000009:adverse effects / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D019635:Neurosurgical Procedures / Q000009:adverse effects / Q000379:methods*; D061214:Patient Safety; D012189:Retrospective Studies; D020521:Stroke / Q000601:surgery*; D015912:Thrombolytic Therapy; D016896:Treatment Outcome; D055815:Young Adult
keywords: Embolectomy; Interventional radiology; Stroke; Thrombectomy