Related Experiment Video
Updated: May 20, 2026
09:21
Optimized Management of Endovascular Treatment for Acute Ischemic Stroke
Published on: January 18, 2018
Mechanical revascularization for acute ischemic stroke: a single-center, retrospective analysis
Miran Jeromel1, Z V Milosevic, I J Kocijancic
1Clinical Institute of Radiology, Department for Diagnostic and Interventional Neuroradiology, University Medical Centre Ljubljana, Zaloska cesta 2, 1000, Ljubljana, Slovenia. miran.jeromel@gmail.com
Cardiovascular and Interventional Radiology
|July 19, 2012
Summary
Mechanical revascularization (thrombectomy) effectively restores blood flow in acute stroke patients. This endovascular treatment demonstrated high recanalization rates, improved clinical outcomes, and a low complication rate.
Area of Science:
- Neurology
- Interventional Radiology
- Cardiovascular Medicine
Background:
- Endovascular mechanical revascularization (thrombectomy) is a key treatment for acute ischemic stroke.
- It aims to restore blood flow in large intracranial vessel occlusions.
Purpose of the Study:
- To evaluate the recanalization rate, clinical outcomes, and complication rates.
- To assess the effectiveness and safety of mechanical revascularization in stroke patients.
Main Methods:
- A single-center study of 57 patients with large vessel stroke treated within 3-12 hours.
- Mechanical thrombectomy was performed using various devices.
- Recanalization (TICI score), clinical outcomes (NIHSS, mRS), and complications were analyzed.
Main Results:
- Successful recanalization (TICI 2b/3) achieved in 72% of patients.
- Favorable outcomes (mRS ≤2) seen in 35% at 30 days.
- Significant neurological improvement (≥4 NIHSS reduction) in 63%; 5% experienced major complications.
Conclusions:
- Mechanical revascularization shows high recanalization rates in acute stroke.
- The procedure is associated with improved clinical outcomes and a low complication rate.
- Endovascular revascularization is an effective and safe treatment for intracranial large vessel occlusion.