Background. Mechanical thrombectomy is the rescue treatment for large vessel occlusion in acute ischemic stroke up to 24 hours after onset. Objective of the study. The objective of this study is to share the results of a series of cases that underwent mechanical thrombectomy in Institute of Neurology and Neurosurgery in 2021. Material and Methods. The study represents a series of patients who underwent mechanical thrombectomy for the treatment of acute ischemic stroke. Before intervention, the patients were assessed based on NIHSS scale. Mechanical thrombectomy using aspiration, stent-retriever, angioplasty, stenting, and special techniques were used. Outcome criteria were assessed at 3 months. Results. All the patients were initially evaluated with CT and angio-CT for planning the intervention. The patients were operated mainly under general anesthesia. Aspiration and thrombectomy using a stent-retriever were procedures used in the majority of cases. Special cases like angioplasty and stenting are also described. Majority of the patients were in a mRS score below 3 at 3 months follow-up. Conclusion. Our data confirm the data that endovascular management is superior to standard medical management alone for the treatment of acute ischemic stroke due to large vessel occlusion.

Introducere. Trombectomia mecanica este tratamentul salvator, de revascularizare în ictusul ischemic supraacut cauzat de o ocluzie de vas major intracranian in primele 24 ore de la debutul bolii. Scopul lucrării. Scopul lucrării este prezentarea rezultatelor unei serii de cazuri trombectomie mecanica efectuate in Institutul de Neurologie si Neurochirurgie in anul 2021. Material și Metode. Studiul reprezintă o serie de cazuri de trombectomie mecanica la pacienții cu ictus cerebral ischemic acut. Preoperator pacienții au fost evaluați conform scalei NIHSS. Procedurile efectuate au fost: trombaspiratia, trombectomia prin stent-retriever, angioplastia, stentarea, si trombectomia prin utilizarea tehnicilor speciale. Evaluarea pacienților a avut loc la 3 luni postoperator. Rezultate. Preoperator pacienții au fost evaluați prin CT si angio-CT in vederea planificării intervenției chirurgicale. Majoritatea procedurilor au fost efectuate in anestezie generala. Trombaspirația si trombectomia utilizând un stent-retriver au fost procedurile de baza. Sunt descrise in lucrare de asemenea si cazuri speciale de angioplastie si stentare. Majoritatea pacienților externați au avut la 3 luni un scor Rankin mai mic ca 3. Concluzii. Studiul dat confirma datele prezentate in literatura ca tratamentul endovascular al ictusului ischemic acut este superior tratamentului conservativ/medicamentos cauzat de ocluzii de vase majore intracraniene.