Early Results of Acute Stroke Intervention Undertaken by Invasive Cardiologists Vs Neuro-Interventionalists

Yoav Turgeman Menachem Nahir Ehud Rozner Doron Sudarsky
Heart Institute,HaEmek Medical Center, Rappaport School of Medicine, Afula

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 .









Powered by Eventact EMS