Preliminary experience on early mechanical recanalization of middle cerebral artery for acute ischemic stroke and literature review
10.3760/cma.j.issn.1005-1201.2012.11.013
- VernacularTitle:大脑中动脉闭塞早期机械开通病例回顾及文献复习
- Author:
Weixing BAI
;
Tianxiao LI
;
Liangfu ZHU
;
Jiangyu XUE
;
Ziliang WANG
- Publication Type:Journal Article
- Keywords:
Cerebrovascular accident;
Infarction,middle cerebral artery;
Radiology,interventional
- From:
Chinese Journal of Radiology
2012;(11):1019-1022
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the feasibility,efficacy and complication of early middle cerebral artery(MCA) mechanical recanalization(MER) for treatment of acute ischemic stroke.Methods Seven cases undergone MER of MCA for the treatment of acute cerebral infarct were retrospectively reviewed and analyzed,including the etiology,mechanism,Qureshi grading scale,location and size of infarcts,NIHSS score of pre and post procedure,endovascular technique and complications.Referring to the literature,the indications of MCA recanalization were further identified.Results A total of 7 cases with mean age of 48 yrs were reviewed,which included 3 cases of atherosclerotic thrombosis and 4 embolic cases with pre NIHSS score ranging from 3 to 22.Mechanical recanalization succeeded in 6 cases,but 2 cases of cardiogenic embolism died of intrac ranial hemorrhage postoperatively.Favorable clinical outcomes were achieved in 4 cases whereas 1 deteriorated.Overall complications seemed to be consistent with literatures reviewed.Conclusions Early MER of MCA may benefit to a certain subset of acute ischemia stroke patients,however,embolic cases,elder patients and those with severe neurologic deficits are often accompanied by higher complications and unfavorable outcome.
