Efficacy of mechanical thrombectomy in stroke patients with large vessel involvement


Submitted: 13 March 2022
Accepted: 30 March 2022
Published: 22 June 2022
Abstract Views: 780
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Authors

  • Seyed Hossein Aghamiri Department of Neurology, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran, Islamic Republic of.
  • Behnam Mansouri Department of Neurology, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran, Islamic Republic of.
  • Masoud Mehrpour Department of Neurology, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran, Islamic Republic of.
  • Seyed Meghdad Hoseini Karani Department of Neurology, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran, Islamic Republic of.
  • Mehran Ghaffari Department of Neurology, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran, Islamic Republic of.
  • Behnam Safarpour Lima Department of Neurology, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran, Islamic Republic of.
  • Khalil Komlakh Department of Neurosurgery, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran, Islamic Republic of.

Ischemic stroke is a common disease worldwide and leads to a significant rate of mortality and disability in patients every year, and imposes high costs on the health care system. The aim of this study was to evaluate the efficacy of the invasive method of mechanical thrombectomy for rapid intervention in ischemic stroke patients with large vessel involvement. Patients suspected of having a stroke, who were referred to Imam Hossein Hospital, were examined, and the diagnosis of stroke was confirmed. In the next stage, patients' MRS index was measured and the possibility of emergency thrombectomy was evaluated in patients. Patients who underwent thrombectomy were considered as the case group and the other patients were contemplated as the control group; then, the cases of the two groups were evaluated and compared. The mean age of patients was 66.63 ± 12.26 years. the use of emergency thrombectomy in the study group significantly reduced the MRS index of patients after 90 days (p <0.001), while a significant increase in the mean scores of the MRS index was seen in patients receiving pharmacological treatments. Also, there was no significant difference in terms of gender between the group of patients undergoing thrombectomy and the group receiving other treatments (p = 0.375). Emergency mechanical thrombectomy significantly reduces disability in stroke patients in the long term and can be a good alternative to conventional drug treatments.


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