SELCUK UNIVERSITY, MEDICAL FACULTY
NEUROLOGY, CENTER OF STROKE
Date of Birth, place : 25.09.1978 Erzurum City, TURKEY Education : Ataturk University – Medical School (1997-2004) Ataturk University-Department of Neurology (2006-2011) O.G University-Vascular and Endovascular Neurology and Intensive Care (2014-2016) Ataturk University-Department of Neurology-Stroke Unit (2013-2017) Selcuk University-Department of Neurology-Stroke Center (2017-...) As primary I have done endovascular procedures that thrombectomy, carotid, vertebral, subclavian, intracraial stents and aneurysm intervention.

Presenter of 1 Presentation

ENDOVASCULAR TREATMENT FOR M3 OCCLUSIONS

Session Type
Free Communication Session
Date
29.10.2021, Friday
Session Time
15:15 - 16:45
Room
FREE COMMUNICATIONS A
Lecture Time
15:15 - 15:25

Abstract

Background and Aims

Endovascular treatment (ET) has become most well-proven beneficial treatment for the M1-2 occlusions of the middle cerebral artery (1-3). Mortality and disability rates are high if large vessel occlusions are not treated (4). Even if these rates are lower in M3 occlusions, the important branch blockages can end with disability. Small vessels occlusions are difficult to detect and treatment for endovascular interventions. There are few studies on the effectiveness of endovascular treatment for M3 occlusions (5,6). In this study, our aim to assess the feasibility, safety, and preliminary efficacy of endovascular therapy for M3 occlusions.

Methods

This study was conducted a retrospective analysis of a prospectively collected database in two- centers for acute ischemic stroke of anterior system between July 2015 and April 2020. Middle cerebral artery is divided into the sections according to the course and angle of the middle cerebral artery. M3 (opercular) segment of the middle cerebral artery is after the circular sulcus of the insula.

Results

The complete or near complete reperfusion (mTICI 2b-3) of m3 occlusion was achieved in 15 cases (38.5%). The complete (mTICI 3) reperfusion was achieved in 24 cases (61.5%). The complete or near complete reperfusion (mTICI 2b-3) of the other anterior circulation occlusion was achieved in 129 cases (65.9%) while the complete (mTICI 3) reperfusion was achieved in 50 cases (27%).

Conclusions

This retrospective study demonstrates the ability of endovascularly treatment of M3 occlusions as effective, reliable and cost-effective.

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