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The Academic Journal of Neurology and Neurosurgery deals with Neurology and Neurosurgery accepts articles on these topics. Academic Journal of Neurology and Neurosurgery publishes original research articles, review articles, case reports, editorial commentaries, letters to the editor, educational articles, and conference/meeting announcements.

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Original Article
Factors affecting prognosis in patients undergoing acute thrombectomy: single center experience
Aims: Our hospital is the only stroke center in the province and serves as a stroke center that welcomes patients from many districts and even surrounding provinces. We aimed to compare the results of endovascular treatment (EVT) applications performed in our hospital with the literature.
Methods: The data of 93 patients who received EVT treatment in the radiology angiography unit between 01.01.2022 and 30.06.2023 were examined. Statistical analyzes were applied on the data obtained.
Results: While a significant positive effect of the first pass effect of EVT on NIHSS and mRS was detected (p<0.001), the hemorrhagic transformation rate was also found to be significantly low (p<0.001). Exit NIHSS scores were significantly lower than entry NIHSS scores. A significant positive effect of short procedure time on exit NIHSS was detected. As the post-procedure complication rate increased, exit NIHSS and mRS values were also significantly higher. It was observed that the short procedure time significantly affected the exit NIHSS scores.
Conclusion: Although EVT is a treatment with proven effectiveness in acute stroke, conditions such as first pass effect, procedure complications and procedure duration affect the chance of success of the procedure. The success of EVT applied in our hospital gave similar results to the literature.


1. Tsao CW, Aday AW, Almarzooq ZI, et al. Heart disease and strokeStatistics-2023 update: a report from the American Heart Association.Circulation. 2023;147(8):93-621.
2. Powers WJ, Rabinstein AA, Ackerson T, et al. 2018 guidelines for theearly management of patients with acute ischemic stroke: a guidelinefor healthcare professionals from the American Heart Association/American Stroke Association. Stroke. 2018;49(3):e46-e110.
3. Tu WJ, Wang LD. Special writing group of China stroke surveillancereport. China stroke surveillance report 2021. Mil Med Res. 2023;10(1):33.
4. Phipps MS, Cronin CA. Management of acute ischemic stroke. BMJ.2020;368:l6983. doi: 10.1136/bmj.l6983. PMID: 32054610.
5. Tsivgoulis G, Katsanos AH, Sandset EC, et al. Thrombolysis for acuteischaemic stroke: current status and future perspectives. Lancet Neurol.2023;22(5):418-429.
6. Yaghi S, Willey JZ, Cucchiara B, et al. Treatment and outcome ofhemorrhagic transformation after intravenous alteplase in acuteischemic stroke: a scientific statement for healthcare professionals fromthe American Heart Association/American Stroke Association. Stroke.2017;48(12):343-361.
7. Wass&eacute;lius J, Arnberg F, von Euler M, Wester P, Ullberg T. Endovascularthrombectomy for acute ischemic stroke. J Intern Med. 2022;291(3):303-316. doi: 10.1111/joim.13425. PMID: 35172028
8. Ma H, Campbell BCV, Parsons MW, et al. Thrombolysis guided byperfusion imaging up to 9 hours after onset of stroke. N Engl J Med.2019;380(19):1795-1803. doi: 10.1056/NEJMoa2001123
9. Yang P, Zhang Y, Zhang L, et al. Endovascular thrombectomy withor without intravenous alteplase in acute stroke. N Engl J Med.2020;382(21):1981-1993. doi: 10.1056/NEJMoa2001123.
10. &Ouml;zaydın G&ouml;ksu E, Parlak AE, Delibaş Katı Ş, Gen&ccedil; F. The relationshipbetween seizure after ischemic stroke and microbleeds. Arch Epilepsy.2020;26(3):174-178.
11. Macdonald IR, Linehan V, Sneek B, Volders D. Standardizedapproach to direct first pass aspiration technique for endovascularthrombectomy: description and initial experience with CANADAPT.Intervent Neuroradiol. 2024;8:15910199241230360.
12. Gupta R, Miralb&eacute;s S, Calleja Bonilla A, et al. Technique and impacton first pass effect primary results of the ASSIST global registry. JNeurointerv Surg. 2024;9: 021126
13. Cappellari M, Saia V, Pracucci G, et al. Predictors for clinical andfunctional outcomes in stroke patients with first-pass completerecanalization after thrombectomy. Eur J Neurol. 2023;30(8):2288-2296.
14. Biederko R, Honig A, Shabad K, et al. Improved first-pass effect in acutestroke thrombectomy using Solitaire-X compared to Solitaire-FR. FrontNeurol. 2023;14:1215349.
Volume 1, Issue 3, 2024
Page : 46-50
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