CASE OF SUCCESSFUL RECANALIZATION IN ISCHEMIC STROKE PATIENT WITH COMBINED APPLICATION OF INTRAVENOUS THROMBOLYTIC THERAPY AND THROMBEXTRACTION
L.R. Laypanova (1, 2), A.G. Zlatovratsky (1), A.L. Lukyanov (1, 2), L.M. Mikhaleva (1, 3), N.A. Shamalov (2)
1) City Clinical Hospital № 31, Moscow, Russia;
2) Pirogov Russian National Research Medical University, Moscow, Russia;
3) Research Institute of human morphology, Moscow, Russia
Background. Ischemic stroke occupies a leading position among the topical problems of modern medicine due to the high incidence of the disease, as well as a large percentage of disability and mortality. In recent years, intravenous thrombolytic therapy has become a part of the routine methods of treating cerebral stroke with an annual increase in the absolute number of procedures performed in the Russian Federation. At the present time, mechanical thromboextraction is an actively developing field of treatment of ischemic stroke.
Description of the clinical case. This clinical observation describes a patient with ischemic stroke in the right middle cerebral artery territory admitted to the hospital at an early stage from the onset of the disease, who underwent the procedure of combined reperfusion therapy with a good clinical and angiographic effect, as well as an evaluation of the long-term results. Conclusion. The presented clinical observation demonstrates the high efficacy and safety of the combination of intravenous thrombolytic therapy and mechanical thromboextraction.
Keywords: acute ischemic stroke, thromboextraction, systemic thrombolysis, endovascular treatment, clinical case
About the Autors
Corresponding author: L.R. Lyapanova – Neurologist of the intensive care unit for patients with acute cerebrovascular accident, CCH № 31, Postgraduate Student at the Department of Neurology, Neurosurgery and Medical Genetics of the Therapeutic Faculty of the Pirogov RNRMU, Moscow, Russia; e-mail: Mizheva54@mail.ru, ORCID: https://orcid.org/0000-0002-5871-6648