Endovascular Intervention for Acute Ischemic Stroke at Can Tho University of Medicine and Pharmacy Hospital

Abstract

Introduction: Acute cerebral ischemic stroke is a life-threatening emergency with high incidence of mortality and morbidity. Endovascular revascularization has been increasingly used as one of the treatment options. In this article, we report our outcomes of endovascular intervention for the treatment of ischemic stroke and highlight some technical experiences. Materials and methods: A cross-sectional descriptive study was conducted on all cerebral ischemic stroke patients who came to Can Tho University of Medicine and Pharmacy Hospital within 8 hours from the first symptom would be included. National Institute of health stroke (NIHSS) scale was used for stroke grading which should be 10 or above. The vascularization procedure would be performed with the thrombus aspiration systems or stent retrievers with or without angioplasty and stenting. Postprocedure care would be conducted for at least 2 weeks before discharge. Results: A total of 53 patients were recruited from 1st of January 2018 to 30th December 2020 (24 months). Male to female ratio was 1.54:1. Ages ranged from 38 to 90 (mean 64). NIHSS scores ranged from 12-25. Approximately 98% of patients had comorbidities with hypertension, diabetes, atrial fibrillation , mitral valve stenosis and valvular insufficiency, A-V block. Totally there were 44 patients experiencing thrombectomy with catheter-based distal aspiration (35), stent retrievers (03), aspiration and stent retriever combination (06). The total technical success rates for all procedures were 47/53 (88.6%)). The total death rate was 15/53 (28.3%) due to combining comorbiditiese. There were 31/53 patients (58.4%) who had significant recovered in muscle movement, language and cognition after 2 weeks. Conclusion: Endovascular intervention is a one of the good options for the management of acute ischemic stroke, which has a high revascularization rate (88.6%) and can save up to 58.4% of patients out of disability. Successful revascularization is the crucial first step to salvage the patients and obtain a better prognosis.

Effectiveness of Pharmacist-led Intervention on Physicians Prescribing for Outpatients in Vietnam: A Before- and After-intervention Study

“…This trend was also observed in specific research populations, such as inpatients with cardiovascular diseases aged 35 years and older, in the study of Sagita 14 , which reduced both the number and types of DRPs; however, the occurrence of DRPs at each stage was independent (p-value>0.05). This result differs from similar studies (p-value<0.01) and differences in intervention forms between studies on specific patient populations [14][15][16] .…”

Application of epidural steroid injection for the treatment of lumbar disc herniation in Vietnam

“…The onset circumstances by blending or rotating accounted for the highest prevalence (45%), which was similar to the Tran and colleagues (48.1%;Tran & Le, 2018) and Nguyen and team (51.43%;Nguyen, 2014) Sensory disorder (98% foot numbness, 34% sensation reduced) and reflex disorder (40% patellar reflex reduction, 50% Achilles reflex reduction) (Table 2) were similar to some studies such as 100% sensory disorder, and 58.5% reflex disorders (Tran & Le, 2018), 65.11% sensory disorder and 43.33% reflex disorders (Duong, 2015), and 72% sensory disorder (Lewis et al, 1987).…”

“…Muscle atrophy in our study (18%) was lower than as reported by Nguyen and the team's study (48.7%) (Nguyen, 2014) Lewis et al, 1987). This difference was because of the distinctive living habits and occupations between populations.…”

“…LBP and sciatica were the most common symptom (100%) (Table 2). The prevalence of patients with LBP and sciatica was 100%, 88.57%, and 93%, respectively (Lewis et al, 1987;Nguyen, 2014;Tran & Le, 2018). The onset time was mainly less than 12 months (39%) (Table 2), which was different from some studies with the onset time recorded as 91.67%, 65.2%, 56.66%, 42.85% (Duong, 2015;Nguyen, 2014;Tran & Le, 2018).…”

“…The prevalence of patients with LBP and sciatica was 100%, 88.57%, and 93%, respectively (Lewis et al, 1987;Nguyen, 2014;Tran & Le, 2018). The onset time was mainly less than 12 months (39%) (Table 2), which was different from some studies with the onset time recorded as 91.67%, 65.2%, 56.66%, 42.85% (Duong, 2015;Nguyen, 2014;Tran & Le, 2018). The difference could be due to the patient's current knowledge; our study was conducted in 2019, and others were conducted in 2014, 2015, and 2018 respectively.…”