Publication: Complications in acute ischemic stroke patients during endovascularization therapy: A retrospective study
dc.contributor.author | Phuriphong Songarj | en_US |
dc.contributor.author | Chutida Sungworawongpana | en_US |
dc.contributor.author | Natchanan Uhtsapun | en_US |
dc.contributor.other | Faculty of Medicine, Siriraj Hospital, Mahidol University | en_US |
dc.date.accessioned | 2019-08-23T11:44:38Z | |
dc.date.available | 2019-08-23T11:44:38Z | |
dc.date.issued | 2018-09-01 | en_US |
dc.description.abstract | © 2018, Medical Association of Thailand. All rights reserved. Objective: The present study aimed to determine the preferential technique of anesthesia, and compare the peri-procedure or treatment complications in acute ischemic stroke patients who received endovascular recanalization therapy. Materials and Methods: A retrospective descriptive cross-sectional study, data were collected from a list of patients who received endovascular recanalization therapy from January 2014 to December 2015. Data from all patients were retrieved from a database of the department of anesthesiology, Faculty of Medicine Siriraj Hospital. Baseline data were collected including age, sex, comorbidities, current medication, Glasgow Coma Scale [GCS] and stroke severity. Intra-procedural data and post-procedural complications were collected. Results: Ninety-one patients were enrolled to the present study, 86% received general anesthesia [GA]. All baseline patients’ characteristics were similar in both groups, except patients in local anesthesia [LA] group receiving anti-coagulants much more than GA group (p = 0.004). The overall procedure time and time record in stroke fast tract protocol were similar in both groups. In GA group found peri-procedural hypotension significantly greater than LA group (p<0.001). Hypertension and re-stroke were found in LA group, significantly greater than GA group (p = 0.034,p = 0.048). Conclusion: GA was more preferable technique than LA in patients undergoing endovascular recanalization therapy. LA provided less hypotension than GA during procedure. The patients receiving LA suffered from hypertension and re-stroke more than GA in post-procedural period. Both GA and LA did not show greater improvement in neurological status at 24 hours after treatment. | en_US |
dc.identifier.citation | Journal of the Medical Association of Thailand. Vol.101, No.9 (2018), 133-142 | en_US |
dc.identifier.issn | 01252208 | en_US |
dc.identifier.other | 2-s2.0-85064228300 | en_US |
dc.identifier.uri | https://repository.li.mahidol.ac.th/handle/123456789/46339 | |
dc.rights | Mahidol University | en_US |
dc.rights.holder | SCOPUS | en_US |
dc.source.uri | https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85064228300&origin=inward | en_US |
dc.subject | Medicine | en_US |
dc.title | Complications in acute ischemic stroke patients during endovascularization therapy: A retrospective study | en_US |
dc.type | Article | en_US |
dspace.entity.type | Publication | |
mu.datasource.scopus | https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85064228300&origin=inward | en_US |