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HOW DOES THE USE OF ANTIPLATELET AND ANTICOAGULANTS AFFECT THE SUCCESS OF MECHANICAL THROMBECTOMY IN ACUTE ISCHEMIC STROKE CASES? HOGYAN BEFOLYÁSOLJA A THROMBOCYTAAGGREGÁCIÓ-GÁTLÓK ÉS AZ ANTIKOAGULÁNSOK HASZNÁLATA A MECHANIKUS THROMBECTOMIA SIKERESSÉGÉT AKUT ISCHAEMIÁS STROKE ESETÉN?

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dc.creator Gi̇Ray, Semih
dc.creator İNanç, Yusuf
dc.creator EREN, Alper
dc.creator ŞENGEZE, Nihat
dc.creator Çabalar, Murat
dc.date 2022-01-01T00:00:00Z
dc.date.accessioned 2023-01-09T12:00:01Z
dc.date.available 2023-01-09T12:00:01Z
dc.identifier 13dda8d7-c2db-4a95-be53-abfa23f9b4f2
dc.identifier 10.18071/isz.75.0105
dc.identifier https://avesis.sdu.edu.tr/publication/details/13dda8d7-c2db-4a95-be53-abfa23f9b4f2/oai
dc.identifier.uri http://acikerisim.sdu.edu.tr/xmlui/handle/123456789/97580
dc.description © 2022 Ifjusagi Lap-es Konyvkiado Vallalat. All rights reserved.Background and purpose – In this study, we wanted to investigate the effect of antiplatelet and anticoagulant use on the success of mechanical thrombectomy in acute ischemic stroke cases. Methods – 174 patients who were brought to the Stroke Center of Gaziantep University Şahinbey Research and Practice Hospital between January 2018 and February 2019 due to acute ischemic stroke and who underwent mechanical thrombectomy were retrospectively analyzed. The demographic characteristics, antiplatelet/anticoagulant use before the stroke and mTICI (modified-Thrombolysis-In-Cerebral-Infarction) scores used for reperfusion in mechanical thrombectomy were evaluated. The findings were analyzed statistically (p<0.05). Results – The mean age was 63.3 ± 13.5 in 174 patients who underwent mechanical thrombectomy. 23/174 (13.2%) patients were using anticoagulant therapy (warfarin-OAC or new generation oral anticoagulant-NOAC) and 28/174 (16.1%) were using antiplatelet therapy. A history of atrial fibrillation (AF) was significantly higher in patients receiving anticoagulant therapy before acute ischemic stroke (p=0.001). Patients with a history of hyper tension (HT), diabetes mellitus (DM) and coronary artery disease (CAD) before acute ischemic stroke were receiving antiplatelet therapy in higher rates (respectively; p=0.003, p=0.037, p=0.005). Successful recanalization (mTICI ≥ 2b) was higher in patients with a history of anticoagulant use and who underwent mechanical thrombectomy (p=0.025). Conclusion – Our study showed that the use of antiplatelet or anticoagulants before mechanical thrombectomy may have an indirect positive effect on the success of the procedure.
dc.language eng
dc.rights info:eu-repo/semantics/closedAccess
dc.title HOW DOES THE USE OF ANTIPLATELET AND ANTICOAGULANTS AFFECT THE SUCCESS OF MECHANICAL THROMBECTOMY IN ACUTE ISCHEMIC STROKE CASES? HOGYAN BEFOLYÁSOLJA A THROMBOCYTAAGGREGÁCIÓ-GÁTLÓK ÉS AZ ANTIKOAGULÁNSOK HASZNÁLATA A MECHANIKUS THROMBECTOMIA SIKERESSÉGÉT AKUT ISCHAEMIÁS STROKE ESETÉN?
dc.type info:eu-repo/semantics/article


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