Retrospective Analysis of the Treatment of Patients with Acute Stroke in a Training and Research HospitalCemile HakiBursa Yüksek İhtisas Training and Research Hospital, Bursa, Turkey
Background: The aim of this study was to evaluate the intravenous recombinant tissue plasminogen activator (iv r-tPA) and/or mechanical thrombectomy indications in patients with acute stroke and in case these treatments were not applied, to determine reasons why these treatments were not applied in our patients. Methods: The study included 300 patients with accessible data due to stroke between January 2018 and June 2019. Results: A total of 214 (71%) of these patients had been admitted to the hospital within the first 4.5 hours. Fifty-eight (19%) of the patients did not undergo iv r-tPA and/or mechanical thrombectomy due to contraindications. Conclusion: In our study, we determined that the most common reason for not applying iv r-tPA and mechanical thrombectomy treatments to patients was the fact that these patients could not reach the hospital within the treatment window. Multi-center studies are needed to investigate the large number of factors contributing to delaying the access of patients with acute ischemic stroke to these treatments. Addressing these factors may increase the proportion of patients receiving thrombolytic therapy or undergoing mechanical thrombectomy. Keywords: acute stroke, thrombolytic therapy, mechanical thrombectomy
Cemile Haki. Retrospective Analysis of the Treatment of Patients with Acute Stroke in a Training and Research Hospital. . 9999; 0: 0-0
Corresponding Author: Cemile Haki, Türkiye |
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