Mechanical, aspiration and intra-arterial thrombectomy. First case in a patient with an acute stroke in a hospital
Descripción del Articulo
Acute stroke is one of the most common causes of morbidity and mortality worldwide. Mechanical thrombectomy is the endovascular procedure that has shown better results in patients with a large vessel involvement. We present here a case of a patient who had a five-hour history of thrombosis of the le...
| Autores: | , |
|---|---|
| Formato: | artículo |
| Fecha de Publicación: | 2020 |
| Institución: | Universidad Peruana Cayetano Heredia |
| Repositorio: | Revistas - Universidad Peruana Cayetano Heredia |
| Lenguaje: | español |
| OAI Identifier: | oai:revistas.upch.edu.pe:article/3726 |
| Enlace del recurso: | https://revistas.upch.edu.pe/index.php/RMH/article/view/3726 |
| Nivel de acceso: | acceso abierto |
| Materia: | Infarto cerebral; trombectomía; stent retriever Cerebral infarction; thrombectomy; stent retriever |
| id |
REVUPCH_e722cac8b0a0e8c26c6a400bbcd6eaeb |
|---|---|
| oai_identifier_str |
oai:revistas.upch.edu.pe:article/3726 |
| network_acronym_str |
REVUPCH |
| network_name_str |
Revistas - Universidad Peruana Cayetano Heredia |
| repository_id_str |
|
| spelling |
Mechanical, aspiration and intra-arterial thrombectomy. First case in a patient with an acute stroke in a hospitalTrombectomía mecánica, aspirativa e intra-arterial. Primer caso en un paciente con stroke isquémico agudo de un hospital nacionalSaal-Zapata, GiancarloRodríguez, RodolfoInfarto cerebral; trombectomía; stent retrieverCerebral infarction; thrombectomy; stent retrieverAcute stroke is one of the most common causes of morbidity and mortality worldwide. Mechanical thrombectomy is the endovascular procedure that has shown better results in patients with a large vessel involvement. We present here a case of a patient who had a five-hour history of thrombosis of the left middle cerebral artery who developed mixed aphasia and hemiparesis, ASPECTS scale of five, NIHSS score of 14 and a modified Rankin scale (mRS) of 4. A mechanical thrombectomy was performed with stents Solitaire AB and ERIC and manual aspiration of the clot with a 60cc syringe plus instillation of intra-arterial alteplase. Immediate reperfusion was complete (TICI 3). The mRS after the procedure was 2. El stroke isquémico agudo es una de las principales causas de morbilidad y mortalidad en el mundo. Si existe compromiso de vaso grande, la trombectomía mecánica es la técnica endovascular que ha demostrado los mejores resultados. Presentamos el caso de un paciente con trombosis de la arteria cerebral media izquierda de 5 horas de evolución, con afasia mixta y hemiplejía, la escala ASPECTS 7, score NIHSS 14 y escala de Rankin modificada (mRS) de 4. Se realizó trombectomía mecánica con stents Solitaire AB y ERIC, aspiración manual de coágulo con jeringa de 60cc e instilación de alteplase intra-arterial. La reperfusión inmediata fue total (TICI 3). El mRS posterior al tratamiento fue de 2. Universidad Peruana Cayetano Heredia2020-04-29info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionPeer-reviewed articleArtículo evaluado por paresapplication/pdfhttps://revistas.upch.edu.pe/index.php/RMH/article/view/372610.20453/rmh.v31i1.3726Revista Médica Herediana; Vol. 31 No. 1 (2020): January - March; 37-41Revista Médica Herediana; Vol. 31 Núm. 1 (2020): Enero - Marzo; 37-41Revista Medica Herediana; v. 31 n. 1 (2020): Enero - Marzo; 37-411729-214X1018-130Xreponame:Revistas - Universidad Peruana Cayetano Herediainstname:Universidad Peruana Cayetano Herediainstacron:UPCHspahttps://revistas.upch.edu.pe/index.php/RMH/article/view/3726/4138info:eu-repo/semantics/openAccessoai:revistas.upch.edu.pe:article/37262020-06-17T16:08:13Z |
| dc.title.none.fl_str_mv |
Mechanical, aspiration and intra-arterial thrombectomy. First case in a patient with an acute stroke in a hospital Trombectomía mecánica, aspirativa e intra-arterial. Primer caso en un paciente con stroke isquémico agudo de un hospital nacional |
| title |
Mechanical, aspiration and intra-arterial thrombectomy. First case in a patient with an acute stroke in a hospital |
| spellingShingle |
Mechanical, aspiration and intra-arterial thrombectomy. First case in a patient with an acute stroke in a hospital Saal-Zapata, Giancarlo Infarto cerebral; trombectomía; stent retriever Cerebral infarction; thrombectomy; stent retriever |
| title_short |
Mechanical, aspiration and intra-arterial thrombectomy. First case in a patient with an acute stroke in a hospital |
| title_full |
Mechanical, aspiration and intra-arterial thrombectomy. First case in a patient with an acute stroke in a hospital |
| title_fullStr |
Mechanical, aspiration and intra-arterial thrombectomy. First case in a patient with an acute stroke in a hospital |
| title_full_unstemmed |
Mechanical, aspiration and intra-arterial thrombectomy. First case in a patient with an acute stroke in a hospital |
| title_sort |
Mechanical, aspiration and intra-arterial thrombectomy. First case in a patient with an acute stroke in a hospital |
| dc.creator.none.fl_str_mv |
Saal-Zapata, Giancarlo Rodríguez, Rodolfo |
| author |
Saal-Zapata, Giancarlo |
| author_facet |
Saal-Zapata, Giancarlo Rodríguez, Rodolfo |
| author_role |
author |
| author2 |
Rodríguez, Rodolfo |
| author2_role |
author |
| dc.subject.none.fl_str_mv |
Infarto cerebral; trombectomía; stent retriever Cerebral infarction; thrombectomy; stent retriever |
| topic |
Infarto cerebral; trombectomía; stent retriever Cerebral infarction; thrombectomy; stent retriever |
| description |
Acute stroke is one of the most common causes of morbidity and mortality worldwide. Mechanical thrombectomy is the endovascular procedure that has shown better results in patients with a large vessel involvement. We present here a case of a patient who had a five-hour history of thrombosis of the left middle cerebral artery who developed mixed aphasia and hemiparesis, ASPECTS scale of five, NIHSS score of 14 and a modified Rankin scale (mRS) of 4. A mechanical thrombectomy was performed with stents Solitaire AB and ERIC and manual aspiration of the clot with a 60cc syringe plus instillation of intra-arterial alteplase. Immediate reperfusion was complete (TICI 3). The mRS after the procedure was 2. |
| publishDate |
2020 |
| dc.date.none.fl_str_mv |
2020-04-29 |
| dc.type.none.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed article Artículo evaluado por pares |
| format |
article |
| status_str |
publishedVersion |
| dc.identifier.none.fl_str_mv |
https://revistas.upch.edu.pe/index.php/RMH/article/view/3726 10.20453/rmh.v31i1.3726 |
| url |
https://revistas.upch.edu.pe/index.php/RMH/article/view/3726 |
| identifier_str_mv |
10.20453/rmh.v31i1.3726 |
| dc.language.none.fl_str_mv |
spa |
| language |
spa |
| dc.relation.none.fl_str_mv |
https://revistas.upch.edu.pe/index.php/RMH/article/view/3726/4138 |
| dc.rights.none.fl_str_mv |
info:eu-repo/semantics/openAccess |
| eu_rights_str_mv |
openAccess |
| dc.format.none.fl_str_mv |
application/pdf |
| dc.publisher.none.fl_str_mv |
Universidad Peruana Cayetano Heredia |
| publisher.none.fl_str_mv |
Universidad Peruana Cayetano Heredia |
| dc.source.none.fl_str_mv |
Revista Médica Herediana; Vol. 31 No. 1 (2020): January - March; 37-41 Revista Médica Herediana; Vol. 31 Núm. 1 (2020): Enero - Marzo; 37-41 Revista Medica Herediana; v. 31 n. 1 (2020): Enero - Marzo; 37-41 1729-214X 1018-130X reponame:Revistas - Universidad Peruana Cayetano Heredia instname:Universidad Peruana Cayetano Heredia instacron:UPCH |
| instname_str |
Universidad Peruana Cayetano Heredia |
| instacron_str |
UPCH |
| institution |
UPCH |
| reponame_str |
Revistas - Universidad Peruana Cayetano Heredia |
| collection |
Revistas - Universidad Peruana Cayetano Heredia |
| repository.name.fl_str_mv |
|
| repository.mail.fl_str_mv |
|
| _version_ |
1842351710014537728 |
| score |
12.650643 |
Nota importante:
La información contenida en este registro es de entera responsabilidad de la institución que gestiona el repositorio institucional donde esta contenido este documento o set de datos. El CONCYTEC no se hace responsable por los contenidos (publicaciones y/o datos) accesibles a través del Repositorio Nacional Digital de Ciencia, Tecnología e Innovación de Acceso Abierto (ALICIA).
La información contenida en este registro es de entera responsabilidad de la institución que gestiona el repositorio institucional donde esta contenido este documento o set de datos. El CONCYTEC no se hace responsable por los contenidos (publicaciones y/o datos) accesibles a través del Repositorio Nacional Digital de Ciencia, Tecnología e Innovación de Acceso Abierto (ALICIA).
