OUTCOME OF TREATMENT WITH MECHANICAL THROMBECTOMY IN PATIENTS WITH ACUTE ISCHEMIC STROKE DUE TO M2 SEGMENT OF MIDDLE CEREBRAL ARTERY OCCLUSION
Main Article Content
Abstract
Objective: To evaluate the clinical outcomes, including the rate of good functional recovery after intervention, the rate of successful vascular recanalization, and the rate of symptomatic intracranial hemorrhage following mechanical thrombectomy in patients with acute ischemic stroke due to middle cerebral artery M2 segment occlusion. Methods: This was a cross-sectional study with longitudinal follow-up conducted on patients with acute ischemic stroke due to MCA M2 segment occlusion who underwent mechanical thrombectomy. Results: Among 72 patients with acute ischemic stroke due to MCA M2 segment occlusion, 72.2% achieved a good functional recovery after the intervention. 52.8% of patients achieved complete recanalization of the occluded vessel, and the rate of symptomatic intracranial hemorrhage was 4.2%. Conclusion: Mechanical thrombectomy in patients with MCA M2 segment occlusion is a feasible, effective and safe treatment stratery.
Article Details
Keywords
stroke, mechanical thrombectomy, Middle Cerebral Artery M2 segment
References
2. Huy NT, N PB, Anh TL, Minh NB, Vu TT, Nguyen KD. Abstract T P7: Endovascular Therapy with Solitaire Flow Restoration Device after Intravenous t-PA versus t-PA Alone for Stroke. Stroke. 2014;45(suppl_1):ATP7-ATP7.
3. Saver JL, Chapot R, Agid R, et al. Thrombectomy for Distal, Medium Vessel Occlusions: A Consensus Statement on Present Knowledge and Promising Directions. Stroke. Sep 2020;51(9):2872-2884. doi:10.1161/STROKEAHA. 120.028956
4. Huy NT, Ton MD, Vu DL, et al. Post‐Market Registry of Stroke Patients Treated With Medtronic Neurothrombectomy Devices in Southeast Asia: PROSPR‐SEA. Stroke: Vascular and Interventional Neurology. 2023;3(6): e000318. doi:doi:10.1161/SVIN.121.000318
5. Saber H, Narayanan S, Palla M, et al. Mechanical thrombectomy for acute ischemic stroke with occlusion of the M2 segment of the middle cerebral artery: a meta-analysis. Journal of NeuroInterventional Surgery. 2018;10(7):620-624. doi:10.1136/neurintsurg-2017-013515
6. Powers WJ, Rabinstein AA, Ackerson T, et al. Guidelines for the Early Management of Patients With Acute Ischemic Stroke: 2019 Update to the 2018 Guidelines for the Early Management of Acute Ischemic Stroke: A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association. Stroke. Dec 2019;50(12):e344-e418. doi:10.1161/STR.0000000000000211
7. Goyal M, Menon BK, Krings T, et al. What constitutes the M1 segment of the middle cerebral artery? Journal of neurointerventional surgery. 2016;8(12):1273-1277.
8. Wahlgren N, Ahmed N, Dávalos A, et al. Thrombolysis with alteplase for acute ischaemic stroke in the Safe Implementation of Thrombolysis in Stroke-Monitoring Study (SITS-MOST): an observational study. The Lancet. 2007;369(9558):275-282.
9. Fifi JT, Yaeger K, Matsoukas S, et al. Aspiration thrombectomy of M2 middle cerebral artery occlusion to treat acute ischemic stroke: A core lab-adjudicated subset analysis from the COMPLETE registry and literature review. Front Neurol. 2023;14: 1076754. doi:10.3389/fneur. 2023.1076754
10. Jumaa MA, Castonguay AC, Salahuddin H, et al. Middle cerebral artery M2 thrombectomy in the STRATIS Registry. Stroke. 2021;52(11):3490-3496.