Stroke Care in Nepal: Bringing Advanced Mechanical Thrombectomy Technology to Nepalese Population

Introduction: Acute ischemic stroke has gained importance after the thrombectomy trials in stroke, e.g., MR CLEAN, ESCAPE, etc. Studies have shown benefit of thrombectomy in recanalization in large vessel occlusion. For the management of cerebral aneurysm, coiling has been a standard after Aneurysm trial ISAT.

Method(s): Retrospective data of all patients treated for AIS and aneurysms from March 2019 to January 2021 were collected. Outcomes were successful revascularization (modified thrombolysis in cerebral infarction score of 2b–3), time to revascularization, procedural complications, and good clinical outcome (modified Rankin Scale score of 0–2) and mortality at 90 days.

Result(s): For AIS, 120 patients treated with ADAPT were included. The median NIHSS was 13 (IQR 10–13.25) and median time from puncture to revascularization was 40 minutes (IQR 30–45). Successful revascularization was achieved in 96 patients (80%). No symptomatic intracranial hemorrhage occurred.

Conclusion(s): For management of AIS, ADAPT appears to be a fast, simple, safe, and effective method in the Nepali patient population.

Publication History

Article published online:
09 February 2023