Özet:

Introduction Ischemic-based injury is mostly dependent on embolic arterial oclusion. The rescue of cells that lose their functions in the acute period, but have not yet lost their vitality, will ensure the limitation of neurological loss. The failure to reach sufficient amounts of the lithium agent given with intravenous treatment since 1996 reduces the chance of rekanalization to succeed. The success rate of IV trombolithic treatment in internal carotid artery oclusions is less than 10%, while in the middle brain artery (MCA) part M1 is less than 30%. However, the intraarterial trombolithic and mechanical trombectomy treatment window of endovascular therapies has been shown to be a little broader and the rekanalization effectiveness is also higher. The event A 40-year-old male patient was brought to our emergency service due to left-side weakness, discourage and awareness disorder. In the extracted MR diffusion, diffusion limitation in the right middle brain artery (MCA) irrigation area was observed (Figure 1), the patient with no brain computer tomography (BBT) bleeding area was taken to the angiography laboratory in 2 hours. Oculusion was observed in the upper MCA division proximal (Figure 3). The patient was given 10 mg IA-tPA. Thrombectomy was performed 2 times with 4-20 retriever stents. 2. trombectomide was taken together with stent (Figure 2). It has been recycled (Figure 4). After the canalization was provided, the patient began to move his feet. At the time of the examination, the consciousness was opened, he followed the commands. The patient was removed with healing. The Contract The purpose of the treatment is to quickly revasculate the oxygen vessel. In the treatment of acute ischemic injury, the new generation of brain mechanical thrombectomy devices (stentriever) are used in randomized prospective clusters in the presence of intrakranial large vein oculus, endovascular treatment has been shown to provide a higher rate of rekanalization and reperfusion than standard treatment and thus have achieved a better functional finish level. In patients with acute vomiting diagnosed with proximal vein oxytocin, intraarterial treatment options must necessarily be included in our treatment strategy. The result The ischemic infection (infection) is ranked among the second causes of death and among the first causes of disability occurring in the adulthood period. This is a very important health issue. But this can be prevented by endovascular treatment for brain vessels, which has begun to be applied in the last two years. The application of this method of treatment can only be done in well-trained doctors and places with appropriate standards. These treatments are being performed in infection centers that will meet this in developed countries of the world. This can be done in a few places in our country. Therefore, quickly and properly; by creating adequate sub-structure, the training of the relevant health personnel should be provided.

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