Abstract

MELENDEZ, Fernando et al. Vascular Complications during Mechanical Thrombectomy in Acute Stroke, a Multicentric Experience in Spain. Rev. argent. radiol. [online]. 2018, vol.82, n.3, pp.107-113. ISSN 1852-9992.  http://dx.doi.org/https://doi.org/10.1055/s-0038-1667126.

Purpose To determine the complications we observed during thrombectomy in acute ischemic stroke. Materials and Methods We reviewed retrospectively thrombectomies performed in our institution when endovascular treatment for stroke was done. The different devices used in this period of time were recorded and we determined if these were related to the development of immediate complications duringthe procedure visualized in arteriography. Results We had 228 cases, complications were found in 16.6% of the cases. Embolisms (n ¼ 31), subarachnoid hemorrhages (n ¼ 2), gangliobasal hemorrhage (n ¼ 1), vasospasm (n ¼ 1), dissection (n ¼ 1) and peusoaneurysms (n ¼ 2) were identified. 5 embolisms happened to new territories during thrombectomy. Discussion Endovascular treatment has been shown to be effective for recanalization in large vessel occlusion. The use of devices presumes a risk for the manipulation of the vessels. Conclusion Embolism was the most frequent complication. The endovascular treatment in the acute stroke produces a favorable clinical outcome of the patients and we found a low percentage of complications that would not suppose a negative affectation in the final outcome.

Keywords : Stroke; Thrombectomy; Embolism; Cerebral Hemorrhage.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )