KẾT QUẢ LẤY HUYẾT KHỐI BẰNG DỤNG CỤ CƠ HỌC TRONG ĐIỀU TRỊ NHỒI MÁU NÃO CẤP DO TẮC MẠCH LỚN TẠI BỆNH VIỆN ĐA KHOA KIÊN GIANG

Abstract

      Background and Objectives: Stroke is one of the leading causes of death worldwide. Mechanical thrombectomy has been proven effective in patients with acute ischemic stroke caused by large-vessel occlusion. Methods: This study aimed to evaluate the treatment outcomes of mechanical thrombectomy in 243 patients with acute ischemic stroke due to large-vessel occlusion who were admitted to Kien Giang General Hospital between May 2023 and December 2025. Results: The mean age of the patients was 62.4 ± 12.8 years, and middle cerebral artery occlusion accounted for 46.1% of cases. The mean times from hospital admission to partial and complete recanalization were 359 ± 211 minutes and 393 ± 224 minutes, respectively. Recanalization time was significantly associated with the degree of recanalization (p = 0.002). Successful recanalization was achieved in 93% of patients. The mean NIHSS score decreased from 16.8 ± 6.7 at admission to 9.9 ± 9.2 at discharge. At three months, 44% of patients achieved a modified Rankin Scale score of 0–2, 26% had moderate disability, and 30% had severe disability or had died. Procedure-related complications occurred in 7.4% of patients. Conclusion: Mechanical thrombectomy was associated with favorable functional recovery in patients with acute ischemic stroke caused by large-vessel occlusion.