• L Viña Soria, L Martín Iglesias, L López Amor, I Astola Hidalgo, R Rodríguez García, L Forcelledo Espina, J A Gonzalo Guerra, S de Cima Iglesias, E Murias Quintana, P Vega Valdés, S Calleja Puerta, and D Escudero Augusto.
• Servicio de Medicina Intensiva, Hospital Universitario Central de Asturias, Oviedo, España; Grupo de Investigación de Microbiología traslacional del Instituto de Investigación del Principado de Asturias (ISPA), España. Electronic address: luciavina@yahoo.es.
• Med Intensiva. 2018 Jun 1; 42 (5): 274-282.

PurposeTo study the results and complications of endovascular treatment (EVT) in acute ischemic stroke patients admitted to Intensive Care Unit (ICU). To analyse the possible factors related to mortality and level of disability at ICU discharge and one year after stroke.DesignObservational prospective study.SettingMixed ICU. Third level hospital.PatientsSixty adult patients. Consecutive sample.InterventionsNone.Variables Of InterestEpidemiological data, time from symptom onset to EVT, angiographic result, length of stay, days on mechanical ventilation, neurological complications, National Institutes of Health Stroke Scale (NIHSS) at ICU admission and discharge, modified Rankin scale score (mRS) at one year.ResultsMean age 68,90±8,84years. Median time from symptom onset to EVT: 180minutes. Median NIHSS at admission: 17,5; at discharge: 3. Distal flow was achieved in 90% of cases. Median ICU stay: 3 days. Mechanical ventilation: 81,7.%. Functional independence (mRS≤2) 50% at one year. Deaths: 22 (36,6%) of which 8 (13,3%) died during UCI stay and the rest during the first year.ConclusionsThe factors relating to a worse functional outcome were symptomatic hemorrhage transformation, lack of recanalization and complications during EVT. The factors relating to mortality were symptomatic hemorrhage and hydrocephalus. Distal flow was achieve in most cases with a low complication rate. Half of the patients presented functional independence one year after the stroke.Copyright © 2017 Elsevier España, S.L.U. y SEMICYUC. All rights reserved.

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