Thrombectomy in stroke

¹M.F. Vladimirskiy Moscow Regional Research and Clinical Institute, Moscow

²A.I. Yevdokimov Moscow State University of Medicine and Dentistry, Moscow

Cerebrovascular accident (CVA) or stroke is the leading underlying condition of neurological disorder and ranks 4th among the causes of adult mortality. Thus, timely reperfusion therapy is an important method of effective care for patients with stroke. The administration of endovascular techniques in the treatment of patients with acute ischemic stroke in the form of mechanical thrombectomy and selective thrombolysis has opened a new era in modern neurology. The article describes two clinical cases with the successful use of mechanical thrombectomy in female patients older than 70 years with ischemic stroke. In both patients, mechanical thrombectomy using second-generation stent retrievers and aspiration techniques was performed urgently, within 6 hours from the onset of ischemic stroke due to the presence of contraindications to systemic thrombolysis. CT and MRI perfusions performed at the examination stage made it possible to clearly visualize the penumbra, which is larger than the infarct area. In both cases, the result of timely intervention was a regression of neurological symptoms, which confirms the efficacy of this treatment method and the feasability of its use in elderly and senile patients.

Keywords: cerebrovascular accident, st roke, atrial fibrillation, thromboextraction, thrombectomy, stent retriever, systemic thrombolytic therapy, penumbra.

For citation: Avdeeva V.E., Kotov A.S. Thrombectomy in stroke. RMJ. 2022;4:44–50.