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Mechanical thrombectomy in patients with M1 occlusion and NIhSS score≤5:a single-centre experience

Stroke & Vascular Neurology 2016年第4期1卷 165-171页

作者： P Bhogal P Bucke O Ganslandt h Bazner h henkes M Aguilar Perez Neuroradiological Clinic NeurocenterKlinikum StuttgartStuttgartGermany Neurological Clinic NeurocenterKlinikum StuttgartStuttgartGermany Neurosurgical Clinic NeurocenterKlinikum StuttgartStuttgartGermany Medical Faculty University Duisburg-EssenStuttgartGermany

Background:The recent success of several mechanical thrombectomy trials has resulted in a significant change in management for patients presenting with ***,it is still unclear how to manage patients that present with stroke and low National Institutes of health Stroke Scale(NIhSS)≤*** sought to review our experience of mechanical thrombectomy in patients with low NIhSS and confirmed M1 ***:We retrospectively analysed our prospectively maintained database of all patients undergoing mechanical thrombectomy between January 2008 and August *** identified 41 patients with confirmed M1 occlusion and low NIhSS(≤5)on admission to our *** collected demographic,radiological,procedural and outcome ***:The mean age of patients was 72±14,with 20 male *** medical conditions were common with hypertension seen in∼80%.Just over 50%presented with NIhSS 4 or *** average ASPECTS score on admission was 8.8(range 6–10),and the average clot length 10 *** Thrombolysis in Cerebral Infarction(TICI)≥2b was obtained in 87.8%of patients.7 patients had haemorrhage on follow-up,2 of which were *** 40 patients with 90-day follow-up,75%had modified Rankin Scale(mRS)score 0–*** were 3 deaths at 90 ***:Mechanical thrombectomy in patients with low NIhSS and proximal large vessel occlusion is technically possible and carries a high degree of success with good safety *** with low NIhSS and confirmed occlusion should be considered for mechanical thrombectomy.

关键词： patients occlusion throm

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