BIẾN CHỨNG XUẤT HUYẾT SAU ĐẶT GIÁ ĐỠ ĐỘNG MẠCH CẢNH TRONG ĐOẠN NGOÀI SỌ TRONG NHỒI MÁU NÃO CẤP

Abstract

Objectives: evaluation of the hemorrhagic complication after carotid stenting in acute ischemic stroke. Methods: A before-and-after study and longitudinal follow-up. Acute tandem occlusions patients who underwent emergent carotid stenting were retrospectively reported. Tandem occlusion in the anterior circulation was defined as severe stenosis or occlusion of the cervical internal carotid artery with ipsilateral occlusion of middle cerebral artery. Clinical features, cerebrovascular characteristics, procedures, hemorrhagic complication, and clinical outcomes by mRS were evaluated. Results: There were 76 cases performed at Can Tho S.I.S General Hospital from 12/2020 to 01/2024. 69.7% patients with favorable outcomes after 3 months of intervention (mRS ≤ 3) and 17.1% patients died (mRS 6). In 16 cases with hemorrhagic transformation, there were: 6 cases HI1, 1 case HI2, 3 cases PH1 and 6 cases PH2. All PH2 cases recorded deaths. Conclusions: The emergent carotid stenting in tandem occlusions was quite safe, although a significant percentage of the hemorrhagic complication relating to the poor clinical outcomes after revascularization were recorded.