Thrombectomy treatment for stroke patients

MRS. On examination, he was found to be partially paralyzed. As a result of brain tomography and MRI studies, it was determined that the patient had severe stenosis in the left carotid artery and occlusion in the left midbrain artery. Department Head of Neurology, Dr. Faculty Member Ahmet Yabalak and his team decided that since the patient was in an early stage, he would benefit from a vascular opening on imaging. Then the patient was quickly taken to the angiography unit, and the stenosis in the left carotid artery was first dilated by entering the groin using the angiography method. Then the clot in the left midbrain vein was removed in a procedure that took about 40 minutes.

Early intervention is important

Dr. Yabalak, “Thrombectomy in acute stroke; It can be especially applied in patients who apply within the first 6 hours and have occlusion in the arteries, which we can describe as the carotid artery and its main branches in the brain. According to the results of brain imaging, suitable patients are processed. The treatment window can be extended for the patient up to 24 hours. The benefit of the procedure decreases as more time passes from stroke onset to artery opening,” he said.

Yabalak said the thrombectomy procedure is urgent for patients who already have a blockage in a large cerebral artery, and the length of the procedure can vary depending on many factors, such as the patient’s vascular structure and the length of the clot. Yabalak pointed out that half of the treated patients were able to become independent enough to take on their own daily activities within 3 months of the stroke. The remaining patients need someone else or lead to death. In this situation, whose natural course is so bad, the risks associated with the procedure are very low compared to the risks of the disease.

“Ischemic stroke is a leading cause of death and disability”

Dr. Dr. Yabalak said, “On the third day after the procedure, he could fully understand and speak. It was normal except for a slight weakness on the right side. We stented the stenosis in our patient’s carotid artery a week later to reduce the risk of a new clot,” he said.
Emphasizing that ischemic stroke is a leading cause of both death and disability, Yabalak said, “With these treatments, it is possible for approximately half of patients with major cerebrovascular occlusion to continue their independent lives for others within the appropriate time frame. ”

“Preparations for stroke center are largely completed”

Yabalak stated that preparations for the opening of the Stroke Center at Düzce University Hospital have been largely completed and shared the information: “After the opening of our stroke center, all patients in our province who were assessed as paralyzed by 112 will be sent directly to us. hospitalized and we will try to be an opportunity for healing by treating the right patients.”

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