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내경동맥 근위부의 협착 및 폐쇄에 의한 급성 뇌경색 환자에서 응급 경동맥 스텐트술

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Author(s)
배기윤홍정호손성일손철호장혁원Gi-Youn BaeJeong-Ho HongSung-Il SohnChul-Ho SohnHyuk-Won Chang
Keimyung Author(s)
Hong, Jeong HoSohn, Sung IlChang, Hyuk Won
Department
Dept. of Neurology (신경과학)
Dept. of Radiology (영상의학)
Journal Title
대한신경과학회지
Issued Date
2008
Volume
26
Issue
3
Abstract
Background: The aim of this study was to investigate the feasibility and efficacy of emergent carotid artery stenting (CAS) for occlusion or high-grade stenosis of the internal carotid artery (ICA) in patients with acute ischemic stroke.
Methods: From November 2004 to May 2007, 17 patients admitted to the hospital within 12 hours of symptom onset with occlusion or a high-grade stenosis of the proximal ICA underwent emergent CAS. We analyzed risk factors, imaging findings, functional outcome scales, and peri-procedural complication. The outcome was measured by the modified Rankin scale (mRS) 3 months later and classified into good (mRS score of 0 to 2) or poor (mRS score of 3 to 6).
Results: All patients were recanalized successfully. The median National Institutes of Health Stroke Scale (NIHSS) score was 12.6 (range 4 to 24) just before the emergent CAS, which decreased to 9.4 and 8.2 at 1 day and 7 days after the stenting. Three months later, 12 patients showed good outcome while three had poor outcome and two of them died. Two patients (11.8%) exhibited symptomatic hemorrhagic transformation following the emergent CAS. Smoking status, and initial and immediate post-procedural NIHSS scores were associated with the outcome.
Conclusions: Emergent CAS is a feasible and effective method in acute treatment of selected stroke patients with steno-occlusion of the proximal ICA.
Alternative Title
Emergent Carotid Stenting in Acute Stroke Patients With Steno-Occlusion of Proximal Internal Carotid Artery
Keimyung Author(s)(Kor)
홍정호
손성일
장혁원
Publisher
School of Medicine
Citation
배기윤 et al. (2008). 내경동맥 근위부의 협착 및 폐쇄에 의한 급성 뇌경색 환자에서 응급 경동맥 스텐트술. 대한신경과학회지, 26(3), 177–185.
Type
Article
ISSN
1225-7044
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/39323
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Neurology (신경과학)
1. School of Medicine (의과대학) > Dept. of Radiology (영상의학)
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