Outcomes of endovascular thrombectomy for acute stroke in regional vascular centers of a metropolis (St.-Petersburg)

Savello A.V.; Vozniuk I.A.; Svistov D.V.; Babichev K.N.; Kandyba D.V.; Shenderov S.V.; Vlasenko S.V.; Shloydo E.A.; Kachesov E.U.; Esipovich I.D.; Haritonova T.V.

doi:https://doi.org/10.17116/jnevro201811812254

Savello A.V.

Voenno-meditsinskaia akademiia im. S.M. Kirova, Sankt-Peterburg

Vozniuk I.A.

Voenno-meditsinskaia akademiia im. S.M. Kirova, Sankt-Peterburg

Svistov D.V.

Voenno-meditsinskaia akademiia im. S.M. Kirova, Sankt-Peterburg

Babichev K.N.

Military medical Academy named after S. M. Kirov, Saint-Petersburg, Russia

Kandyba D.V.

Voenno-meditsinskaia akademiia im. S.M. Kirova, Sankt-Peterburg

Shenderov S.V.

City Multi-Field Hospital №26, St.-Petersburg, Russia

Vlasenko S.V.

Georgievsky Medical Academy, Simferopol, Russia, Crimean Federal University Vernadsky, Simferopol, Russia

Shloydo E.A.

Clinical Hospital №2, St. Petersburg, Russia

Kachesov E.U.

City Multi-Field Hospital «Alexandrovskaya Bolnitsa», St.-Petersburg, Russia

Esipovich I.D.

Almazov National Medical Research Centre, St.-Petersburg, Russia

Haritonova T.V.

Dzhanelidze St. Petersburg Research Institute of Emergency Medicine, St. Petersburg, Russia

Outcomes of endovascular thrombectomy for acute stroke in regional vascular centers of a metropolis (St.-Petersburg)

Authors:

Savello A.V., Vozniuk I.A., Svistov D.V., Babichev K.N., Kandyba D.V., Shenderov S.V., Vlasenko S.V., Shloydo E.A., Kachesov E.U., Esipovich I.D., Haritonova T.V.

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Journal: S.S. Korsakov Journal of Neurology and Psychiatry. 2018;118(12‑2): 54‑63

DOI: 10.17116/jnevro201811812254

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To cite this article:

Savello AV, Vozniuk IA, Svistov DV, et al. . Outcomes of endovascular thrombectomy for acute stroke in regional vascular centers of a metropolis (St.-Petersburg). S.S. Korsakov Journal of Neurology and Psychiatry. 2018;118(12‑2):54‑63. (In Russ.)
https://doi.org/10.17116/jnevro201811812254

Подписка 2026 Журнал неврологии и психиатрии им. С.С. Корсакова. Спецвыпуски (S.S. Korsakov Journal of Neurology and Psychiatry (special issues))

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Abstract:

Objective. To assess technical results and close functional outcomes of acute ischemic stroke (AIS) in patients treated with endovascular thrombecomy (ET) in regional vascular centers (RVC) of St-Petersburg. Material and methods. Retrospective analysis of 183 patients with AIS, including 143 patients with AIS due to a large intracranial vessel occlusion in anterior (AC) and 25 patients in posterior cerebral (PC) circulation, 15 with isolated extracranial carotid occlusion treated in 6 RVC in 2017 was performed. All patients underwent ET. Results and conclusion. Effective reperfusion (mTICI 2b—3) was achieved in 71.5% (71.3% AC, 72% PC). On discharge, 35,7% patients had good (mRs 0—2) functional outcome (37.1% AC, 28% PC). The incidence of symptomatic intracranial hemorrhage (according to ECASS II criteria) was 10.7% (9.1% AC, 20% PC), the mortality was 29.2% (22.4% AC, 68% PC).). The results of our study show the possibility of effective and safe application of ET in patients with AIS in the anterior and posterior cerebral circulation in regional vascular centers of St.-Petersburg.

Keywords:

cerebral artery thrombosis

thrombolysis

intravascular thrombectomy

thrombus aspiration

x-ray endovascular diagnosis

ischemic stroke

Authors:

Savello A.V.

Voenno-meditsinskaia akademiia im. S.M. Kirova, Sankt-Peterburg

Vozniuk I.A.

Voenno-meditsinskaia akademiia im. S.M. Kirova, Sankt-Peterburg

Svistov D.V.

Voenno-meditsinskaia akademiia im. S.M. Kirova, Sankt-Peterburg

Babichev K.N.

Military medical Academy named after S. M. Kirov, Saint-Petersburg, Russia

Kandyba D.V.

Voenno-meditsinskaia akademiia im. S.M. Kirova, Sankt-Peterburg

Shenderov S.V.

City Multi-Field Hospital №26, St.-Petersburg, Russia

Vlasenko S.V.

Georgievsky Medical Academy, Simferopol, Russia, Crimean Federal University Vernadsky, Simferopol, Russia

Shloydo E.A.

Clinical Hospital №2, St. Petersburg, Russia

Kachesov E.U.

City Multi-Field Hospital «Alexandrovskaya Bolnitsa», St.-Petersburg, Russia

Esipovich I.D.

Almazov National Medical Research Centre, St.-Petersburg, Russia

Haritonova T.V.

Dzhanelidze St. Petersburg Research Institute of Emergency Medicine, St. Petersburg, Russia

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References:

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