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Optimized Management of Endovascular Treatment for Acute Ischemic Stroke
09:21

Optimized Management of Endovascular Treatment for Acute Ischemic Stroke

Published on: January 18, 2018

Acute stroke intervention by interventional cardiologists

James T DeVries1, Christopher J White, Tyrone J Collins

  • 1Department of Cardiovascular Diseases, The Ochsner Heart and Vascular Institute, Ochsner Clinic Foundation, New Orleans, Louisiana 70121, USA.

Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions
|February 7, 2009
PubMed

Insights

Catheter-based therapy (CBT) is a safe and effective treatment for acute ischemic stroke in patients ineligible for intravenous thrombolysis. This study shows successful recanalization and improved outcomes with CBT in this patient population.

Area of Science:

  • Neurology
  • Interventional Cardiology
  • Vascular Medicine

Background:

  • Acute ischemic stroke is a prevalent condition often undertreated.
  • Catheter-based therapy (CBT) presents a viable treatment option for select patients unsuitable for intravenous thrombolysis.

Purpose of the Study:

  • To evaluate the technical success and clinical outcomes of CBT for acute ischemic stroke.
  • To assess CBT in patients who do not qualify for intravenous thrombolysis.

Main Methods:

  • Retrospective review of consecutive stroke patients undergoing CBT.
  • Data collection included demographics, NIHSS, procedural details, and in-hospital/90-day outcomes.
  • Interventional cardiologists provided CBT with stroke neurologist support.

Main Results:

  • Successful recanalization was achieved in 88% of 26 CBT-treated patients.
  • In-hospital adverse events occurred in 15%, with intracerebral hemorrhage in 12%.
  • National Institutes of Health Stroke Scale scores improved significantly (16.5 to 9.9; P < 0.001), with 50% achieving a modified Rankin score ≤2.

Conclusions:

  • CBT is a safe and effective treatment for acute stroke patients ineligible for intravenous thrombolysis.
  • Qualified interventional cardiologists and stroke neurologists can successfully administer CBT.
Abstract

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