ISSN (Online): 2348-991X | ISSN (Print): 2454-9576
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Research Article
Open Access

Comparison of Treatment Methods in the Management of Acute Ischemic Stroke.

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DOI: 10.18535/ijmsci/v7i11.03· Pages: 5073-5079 · Vol. 7, No. 11, (2020)· Published: November 5, 2020
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Abstract

Aim: Acute ischemic stroke is an emergency clinical condition that occurs as a result of acute intracranial arterial occlusion and neural tissue destruction. In this study, we aimed to evaluate the treatment outcomes in patients who were performed intravenous thrombolysis (IVT), mechanical thrombectomy (MT), or both.

Materials and Methods: In this retrospective study, 131 patients who underwent IVT, MT or both who has the diagnosis of AIS in our hospital between June 1, 2018, and February 1, 2018, were assessed. Age, sex, concomitant chronic diseases, NIHSS score, treatment-related complications, the time between disease presentation and hospital arrival, the duration of treatment, the one-month mortality rates and modified Rankin scores (MRS) were recorded. One-month mortality, NIHSS, and MRS were compared with treatment modalities and other factors.

Results: The mean age of 131 patients included in the study was 71.79±12.67. The MRS did not differ significantly in the groups with IVT, MT, and IVT+MT (p> 0.05). In the IVT and MT groups, the NIHSS score increased significantly after the treatment (p <0.05). In the MT+IVT group, the NIHSS score after treatment did not change significantly (p> 0.05).

Conclusion: No significant relationship between mortality rates and MRS with treatment method was found.  Complication rates were also not different among three treatment groups.

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Author details
Ertugrul Altınbilek
Department of Emergency Medicine, University of Health Sciences Sisli Etfal Training and Research Hospital, Istanbul, Turkey
✉ Corresponding Author
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Abdullah Algın
Department of Emergency Medicine, University of Health Sciences Umraniye Training and Research Hospital, Istanbul, Turkey
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Mustafa Çalık
Department of Emergency Medicine, University of Health Sciences Sisli Etfal Training and Research Hospital, Istanbul, Turkey
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Ece Guven
Department of Neurology, University of Health Sciences Sisli Etfal Training and Research Hospital, Istanbul, Turkey
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Derya Ozturk
Department of Emergency Medicine, University of Health Sciences Sisli Etfal Training and Research Hospital, Istanbul, Turkey
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Ramazan Guven
Department of Emergency Medicine, University of Health Sciences Kanuni Sultan Suleyman Training and Research Hospital, Istanbul, Turkey
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Ender Uysal
Department of Radiology, University of Health Sciences Sisli Etfal Training and Research Hospital, Istanbul, Turkey
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