title: [NEUROINTERVENTIONAL TREATMENT OF ACUTE ISCHEMIC STROKE: OUR EXPERIENCE IN KAPOSVAR, HUNGARY].
abstract: OBJECTIVE
  In the present study, we report procedural and mid-term functional outcome data on the first 50 neurointerventional treatments of acute ischemic stroke in the Kaposi Mór County Hospital, Kaposvár, Hungary.
  
  
  METHODS
  Endovascular recanalization of occluded large cervical and intracranial arteries was performed following an unsuccessful intravenous lysis or when intravenous lysis was contraindicated. A control cohort was retrospectively formed by analyzing data of 16 patients who has been unsuccesfully treated with iv. lysis before neurointervention was available in our hospital.
  
  
  CONCLUSIONS
  Recanalization rate was 84% and major complication rate was 2% in the neurointerventional group. Mid-term good functional outcome, defined as mRS 0-2, was achieved in 44% in the neurointerventional and in 13% in the intravenous lysis group, after 11.5 and 39.7 months follow-up period, respectively. Subgroup analysis revealed patient age as the strongest predictive factor of good functional outcome. Our data shows that neurointerventional treatment of acute ischemic stroke gives substantially improved functional outcome, in accordance with the results of the recently published international randomized trials.
authors.forename: Péter
authors.initials: P
authors.lastname: Radnai
authors.forename: Mónika
authors.initials: M
authors.lastname: Szőts
authors.forename: Ferenc
authors.initials: F
authors.lastname: Rádai
authors.forename: Gyula
authors.initials: G
authors.lastname: Horváth
authors.forename: Csaba
authors.initials: C
authors.lastname: Varga
authors.forename: János
authors.initials: J
authors.lastname: Fogas
authors.lastname: Szörényi Péter
authors.lastname: Horváth Zoltán
authors.forename: Gábor
authors.initials: G
authors.lastname: Bajzik
authors.forename: Mariann
authors.initials: M
authors.lastname: Moizs
authors.forename: Imre
authors.initials: I
authors.lastname: Repa
authors.forename: Ferenc
authors.initials: F
authors.lastname: Nagy
authors.forename: Zsolt
authors.initials: Z
authors.lastname: Vajda
mesh_terms: D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D002545:Brain Ischemia / Q000150:complications* / Q000000981:diagnostic imaging; D002533:Cerebral Angiography; D002536:Cerebral Arteries / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D002548:Cerebral Revascularization / Q000379:methods*; D003251:Constriction, Pathologic / Q000601:surgery; D057510:Endovascular Procedures; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D006814:Hungary; D008297:Male; D008875:Middle Aged; D019635:Neurosurgical Procedures / Q000379:methods; D011237:Predictive Value of Tests; D012189:Retrospective Studies; D012307:Risk Factors; D020521:Stroke / Q000000981:diagnostic imaging / Q000209:etiology* / Q000503:physiopathology / Q000601:surgery*; D015912:Thrombolytic Therapy; D061665:Time-to-Treatment; D014057:Tomography, X-Ray Computed; D017211:Treatment Failure; D016896:Treatment Outcome