Background: Based on MOH instructions, acute ischemic stroke (IS) intervention should undertaken only in tertiary center with active neuro- intervention unit.
Since 2010, 73 pts with IS were admitted to our unit. 10/73 were transferred for endovascular intervention. Despite transferring 4/10 were treated conservatively due to either time delay or unsuitable anatomy . At the same period we had to perform acute IS intervention in our unit due to several reasons: unavailability of nerointerventionalist, time transfer limitation factors, deterioration under TPA therapy
Aim: Reporting our results of acute IS intervention Vs the results of the tertiary center
Invasive cardiologists |
Neuro Interventionalists |
|
N .of treated pts, (%Male) |
5 , (80%) |
6, (67%) |
Anterior circulation |
2 |
5 |
Posterior circulation |
3 |
|
Balloon angioplasty |
4/5 |
3/6 |
Thrombectomy |
1/5 |
2/6 |
Technical success (%) |
4/5 (80%) |
4/6 (67%) |
Clinical success |
4/5 (80%) |
3/6 (50%) |
Intracranial bleeding |
0 |
1 |
Early death |
1 |
1 |
N-number, pts -patients
Conclusions: Early results of IS intervention undertaken by experienced cardiac intervntionalist are equivocal to procedures undertaken by neuro interventionalist .