@article{Churojana_Mongkolratnan_Sangpetngam_Aurboonyawat_Chankaew_Withayasuk_Songsaeng_Cognard_2018, title={A Comparison of Mechanical Thrombectomy for Large Vessel Occlusion in Acute Ischemic Stroke between Patients with and without Atrial Fibrillation}, volume={70}, url={https://he02.tci-thaijo.org/index.php/sirirajmedj/article/view/153841}, abstractNote={<p><strong>Objective:</strong> Atrial fibrillation (AF) is one of the major risk for large vessel acute ischemic stroke. Mechanical<br>thrombectomy is a promising therapeutic adjunct for large vessel occlusion and also the option for patients who<br>missed the golden time window or who have contraindications for intravenous recombinant tissue plasminogen<br>activator (rtPA). The purpose of this study was to investigate whether AF is a prognostic predictor for the patients<br>with ischemic stroke undergoing mechanical thrombectomy.<br><strong>Methods:</strong> Medical records of all patients with acute ischemic stroke (AIS) caused by large vessel occlusion (LVO)<br>who received mechanical thrombectomy at Siriraj Hospital between November 2009 and November 2016 were<br>retrospectively reviewed. Clinical parameters between the two groups were retrieved and compared.<br><strong>Results:</strong> One hundred and thirty -eight acute ischemic stroke (AIS) patients were treated by endovascular mechanical<br>thrombectomy at Siriraj Hospital between November 2009 and November 2016. Five patients lost from the follow-up<br>process. Totally, 134 patients were included to this study. Fifty patients (37.3%) were in the AF group, 10 patients<br>(7.5%) had a newly diagnosed AF. The AF patients were younger (p=0.002) and had less intracranial atherosclerosis<br>(p=0.015) than non-AF patients. Nevertheless, gender, mean NIHSS, the mean time form puncture to recanalization,<br>mean onset to recanalization, number of the passing of the stent, TICI, symptomatic intracranial hemorrhage, good<br>clinical outcome at 90 days, and mortality rate were not different between two groups.<br><strong>Conclusion:</strong> There is no significant difference of good outcome and complications between AF and non-AF patients<br>with AIS from LVO who underwent mechanical thrombectomy.</p>}, number={4}, journal={Siriraj Medical Journal}, author={Churojana, Anchalee and Mongkolratnan, Atithep and Sangpetngam, Boonrerk and Aurboonyawat, Thaweesak and Chankaew, Ekawut and Withayasuk, Pattarawit and Songsaeng, Dittapong and Cognard, Christophe}, year={2018}, month={Nov.}, pages={278–283} }