Kết quả điều trị lấy huyết khối cơ học ở bệnh nhân nhồi máu não cấp do tắc mạch lớn liên quan tới xơ vữa

To investigate results and predictive factors when treating with mechanical thrombectomy for patients suffering from acute ischemic stroke due to atherosclerosis-related large vessel occlusion. Subjects and methods: A descriptive, longitudinal follow-up study of 64 patients with acute anterior and posterior circulation ischemic stroke were treated by mechanical thrombectomy at Nghe An Friendship General Hospital from January 2020 to December 2021. Results: The mean duration of endovascular procedure was 60.3 minutes; good reperfusion rate was 84.4%; favorable functional outcome (mRS 0-2) after 3 months was 56.3%; mortality rate after 3 months was 14.4% in the general group, but was 46,7% in the posterior circulation sub-group; rate of symptomatic intracranial hemorrhage was 7.8%, 24-hour post-onset NIHSS more than 8 was the independent predictor of outcomes after 3 months. Conclusion: The mechanical thrombectomy had high rates of reperfusion and favorable functional outcome but required rescue therapies, it also had a low percentage of symptomatic intracranial hemorrhage, but mortality rate was high in the basilar artery occlusion sub-group.