Effects of endovascular treatment for mild stroke patients with acute anterior circulation large vessel occlusion
- VernacularTitle:急性前循环大血管闭塞性轻型卒中血管内治疗的疗效分析
- Author:
Jianyi WANG
1
;
Suhang SHANG
1
;
Chen CHEN
1
;
Jia YU
1
;
Jianfeng HAN
1
;
Fude LIU
1
Author Information
- Publication Type:Journal Article
- Keywords: anterior circulation large vessel occlusion; mild stroke; endovascular treatment; efficacy
- From: Journal of Xi'an Jiaotong University(Medical Sciences) 2023;44(3):427-431
- CountryChina
- Language:Chinese
- Abstract: 【Objective】 To observe the safety and effectiveness of endovascular treatment for mild stroke patients with acute anterior circulation large vessel occlusion. 【Methods】 The retrospective study enrolled 38 mild stroke patients with anterior circulation large vessel occlusion who received endovascular thrombectomy (EVT) at The First Affiliated Hospital of Xi’an Jiaotong University between January 2018 and August 2021. Vascular recanalization rate after endovascular treatment (mTICI≥2b), procedural complications, NIHSS score at discharge, and the rate of good modified Rankin Score (mRS≤2) at 90d were observed. 【Results】 The average age of the 38 patients was 62.89±12.41 years, and there were 21 males (55.3%). The vascular recanalization rate post EVT was 100%, while with three cases of thrombosis escape (7.9%) and one case (2.6%) of sICH of 24 h post EVT. The average NIHSS at discharge was 1 (0-1) point, which significantly decreased compared to the average baseline NIHSS 4 (4-5) points (P<0.01). The 90 d followed-up rate was 89.47%, and among all the followed-up patients, 91.2% of them had mRS≤2. Imaging follow-up showed good vascular flow and no in-stent restenosis. 【Conclusion】 Endovascular treatment for acute anterior circulation large vessel occlusion in mild stroke is safe and effective.
