Acute extracranial occlusion of the internal carotid artery: emergent surgery remains a viable option

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F27283933%3A_____%2F14%3AN0000041" target="_blank" >RIV/27283933:_____/14:N0000041 - isvavai.cz</a>

Result on the web

<a href="http://dx.doi.org/10.1007/s00701-014-2036-6" target="_blank" >http://dx.doi.org/10.1007/s00701-014-2036-6</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1007/s00701-014-2036-6" target="_blank" >10.1007/s00701-014-2036-6</a>

Result language

angličtina

Original language name

Acute extracranial occlusion of the internal carotid artery: emergent surgery remains a viable option

Original language description

BACKGROUND: Acute symptomatic occlusion of extracranial internal carotid artery (eICA) can lead to a critical and potentially devastating stroke associated with high morbidity and mortality. Optimal treatment remains unclear. We analyzed our institutional experience with emergent surgical recanalization of acutely occluded eICA. METHODS: Retrospective analysis of hospital records, surgical reports, imaging studies and outpatient records. Final outcome was assessed according to modified Rankin Scale (mRS). RESULTS: Between January 2010 and September 2013, 22 patients underwent emergent surgical recanalization. There were 17 men and five women, mean age 65.4 years (range 37-85). Mean admission National Institute of Health Stroke Scale (NIHSS) was 12 (range 6-21). All patients had evidence of salvageable penumbra on perfusion computed tomography. Tandem intracranial lesion was present in nine patients. Surgical recanalization was successful in 16 patients (72.7 %). Twenty-four hours after surgery, 17 patients (77.2 %) improved by a minimum of 1 point on NIHSS, 14 patients (63.6 %) improved by three and more points; two patients deteriorated by two and five points, the latter treated initially with systemic thrombolysis due to intracranial hemorrhage. No other intracranial hematoma was observed. During 30 days following surgery, two patients died (9 % mortality rate) due to severity of initial stroke. On discharge, four patients were classified as mRS 0, five patients as mRS 1, five patients as mRS 2 and six patients as mRS 4. Favorable recovery (mRS 0-2) was achieved in 14 patients (63.6 %). No change in mRS was observed at three months.

Czech name

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Czech description

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Type

J_x - Unclassified - Peer-reviewed scientific article (Jimp, Jsc and Jost)

CEP classification

FH - Neurology, neuro-surgery, nuero-sciences

OECD FORD branch

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Project

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Continuities

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Publication year

2014

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

Acta neurochirurgica

ISSN

0001-6268

e-ISSN

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Volume of the periodical

156

Issue of the periodical within the volume

5

Country of publishing house

AT - AUSTRIA

Number of pages

8

Pages from-to

901-8

UT code for WoS article

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EID of the result in the Scopus database

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