Outcome of Mechanical Thrombectomy for Acute Ischemic Stroke in Trang hospital
Keywords:
Acute ischemic stroke, mechanical thrombectomy, endovascular treatment for ischemic strokeAbstract
Objective: This study aims to report the functional outcome (mRS at 3 months) and to determine factors which associated with the treatment outcomes of acute ischemic stroke (AIS) patients who underwent mechanical thrombectomy in Trang Hospital.
Method: This study was retrospective descriptive study in 34 patients who underwent mechanical thrombectomy in Trang Hospital between September 2019 and September 2020. The analyses of treatment outcome and predictors were performed using T-test, Chi-square and logistic regression model adjust for age, sex, Alberta Stroke Program Early CT Score (ASPECTS), Modified thrombolysis in cerebral infarction score (mTICI), National Institute of Health Stroke Scale (NIHSS), and procedural time.
Results: Thirteen patients (38.2%) have good outcome (mRS 0-2 at 90 days) and mortality rate was 14.7%. For multivariate analysis, age was an independent predictor of good outcome (1-year increment, aOR 0.82, 95%Cl 0.678-0.99, p 0.039).
Conclusions: Endovascular treatment of AIS patients in Trang Hospital is feasible and has an efficacy comparable to that of other stroke centers. Younger age is associated with favorable outcome.
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