Treatment tactics in patients in the acute period of atherosclerotic subtype of ischemic stroke

Author(s):  I.B. Kovalenko, Belgorod Regional Clinical Hospital, Belgorod, Russia

Z.Yu. Chefranova, Belgorod Regional Clinical Hospital, Belgorod, Russia, zchef31@gmail.com

V.D. Polyansky, Belgorod Regional Clinical Hospital, Belgorod, Russia

N.S. Zueva, Belgorod Regional Clinical Hospital, Belgorod, Russia

Yu.A. Lykov, Belgorod Regional Clinical Hospital, Belgorod, Russia

A.P. Grigorenko, Belgorod Regional Clinical Hospital, Belgorod, Russia

Issue:  Volume 40, №26

Rubric:  Clinical Medicine

Annotation:  The article presents the analysis of treatment results in patients with atherothrombotic subtype of ischemic stroke. The first group of 83 patients received conservative therapy and endovascular treatment, while the second group of 88 patients received only identical conservative therapy. The evaluation of the state in dynamics was carried out according to the NIH scale, the Rankine scale. Methods of endovascular treatment are described in detail. In the group of patients with endovascular treatment, 10 patients (12%) had hemorrhagic transformation of the focus after the operation. Despite the development of complications, in the patients of the main group the lethality was 7.2%, in the control group the lethality was 12.5%. We noted a significant improvement in the recovery of neurological deficits and a decrease in mortality in the group of patients who received endovascular treatment. The treatment tactic in patients with atherothrombotic ischemic stroke was developed

Keywords:  ischemic stroke, hemorrhagic transformation, endovascular treatment, tactic of treatment of atherothrombotic ischemic stroke

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