Article Sidebar

PDF
Date Published: 16/05/2023
Abstract Views: 428
Views PDF: 209
DOI: https://doi.org/10.51298/vmj.v526i1A.5323
Issue
Vol. 526 No. 1A (2023)
Section
Các bài báo
How to Cite
Nguyễn, A. T. ., & Lâm , V. T. . (2023). THE RESULTS OF TREATMENT OF PATIENTS WITH POSTERIOR CIRCULATION OCCLUSION OF AT EMERGENCY DEPARTMENT. Vietnam Medical Journal, 526(1A). https://doi.org/10.51298/vmj.v526i1A.5323

THE RESULTS OF TREATMENT OF PATIENTS WITH POSTERIOR CIRCULATION OCCLUSION OF AT EMERGENCY DEPARTMENT

Anh Tuấn Nguyễn1,, Văn Tài Lâm 2
1 Bach Mai hospital
2 Vinh Phuc general hospital

Main Article Content

Abstract

Treatment of posterior circulation occlusion is a challenge for emergency doctor. Although appling more advanced method of cure, the mortality and morbidity is still high. We carried on a project on 113 patient who suffered the posterior circulation ischemic stroke to identify the effectiveness and outcome of the patient in 3 months. Results: The results told us that 105 patients were undergone medical treatment (92,9%), 4 patients had thrombolysis and 3 patients were experienced the thrombobectomy. The hospital length of stay from 7 to 14 day, 50,4%, the shortest was 2 days, and the longest was 35 days. The average duration of stay was 12,8 ± 6,896 day. The mortality rate was 11.5%, mobidity rate (by modified Rankin Score 4 or 5) was 22.1%. The patient with mRS of 0-3 was 66.3%. Conclusions: Posterior circulation ischemic stroke had high mortality and morbidity rate, The helpful of early diagnosis and multiple approach treatment could largely affect the outcome of the patient.

Article Details

Keywords

Posterior circulation, ischemic stroke, mRS

References

1. Hakan Sarikaya, Marcel Arnold, Stefan T Engelter và các cộng sự. (2011), "Outcomes of intravenous thrombolysis in posterior versus anterior circulation stroke", Stroke, 42(9), tr. 2498-2502.
2. Ozcan Ozdemir, Andrew Leung, Miguel Bussiére và các cộng sự. (2008), "Hyperdense Internal Carotid Artery Sign", Stroke, 39(7), tr. 2011-2016.
3. Lê Thị Mỹ (2015), "Nghiên cứu đặc điểm lâm sàng và hình ảnh học của nhồi máu não thuộc hệ động mạch sống - nền", Luận văn tốt nghiệp bác sĩ nội trú, Trường Đại học Y Hà Nội.
4. Lê Văn Bình (2012), "Nghiên cứu đặc điểm lâm sàng, hình ảnh chụp cắt lớp vi tính và cộng hưởng từ của nhồi máu thân não", Luận văn Thạc sĩ Y học, Đại học Y Hà Nội
5. Volker Puetz, Andrei Khomenko, Michael D Hill và các cộng sự. (2011), "Extent of hypoattenuation on CT angiography source images in basilar artery occlusion: prognostic value in the Basilar Artery International Cooperation Study", Stroke, 42(12), tr. 3454-3459.
6. Volker Puetz, PN Sylaja, Shelagh B Coutts và các cộng sự. (2008), "Extent of hypoattenuation on CT angiography source images predicts functional outcome in patients with basilar artery occlusion", Stroke, 39(9), tr. 2485-2490.
7. Gregory V Goldmakher, Erica CS Camargo, Karen L Furie và các cộng sự. (2009), "Hyperdense basilar artery sign on unenhanced CT predicts thrombus and outcome in acute posterior circulation stroke", Stroke, 40(1), tr. 134-139.