<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0120-8748</journal-id>
<journal-title><![CDATA[Acta Neurológica Colombiana]]></journal-title>
<abbrev-journal-title><![CDATA[Acta Neurol Colomb.]]></abbrev-journal-title>
<issn>0120-8748</issn>
<publisher>
<publisher-name><![CDATA[Asociación Colombiana de Neurología]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0120-87482017000200068</article-id>
<article-id pub-id-type="doi">10.22379/24224022136</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Trombectomía mecánica en pacientes con ataque cerebrovascular isquémico: serie de casos en un centro de referencia colombiano]]></article-title>
<article-title xml:lang="en"><![CDATA[Mechanical Thrombectomy in patients with isquemic stroke: Case series in a Colombian reference center]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Muñoz]]></surname>
<given-names><![CDATA[Juan Gonzalo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rivillas]]></surname>
<given-names><![CDATA[Julián Alejandro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González Jaramillo]]></surname>
<given-names><![CDATA[Nathalia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Urrego Callejas]]></surname>
<given-names><![CDATA[Sebastián]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gómez Hoyos]]></surname>
<given-names><![CDATA[Juan Fernando]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Clínica CardioVID  ]]></institution>
<addr-line><![CDATA[Medellín ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de Antioquia  ]]></institution>
<addr-line><![CDATA[Medellín ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2017</year>
</pub-date>
<volume>33</volume>
<numero>2</numero>
<fpage>68</fpage>
<lpage>73</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S0120-87482017000200068&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S0120-87482017000200068&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S0120-87482017000200068&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  OBJETIVO:  Este artículo describe las características clínicas, indicaciones y desenlaces de mortalidad, eventos adversos e independencia funcional en pacientes con ataque cerebrovascular isquémico, ACVi, sometidos a trombectomía mecánica con stent Solitaire, TMSS.  MATERIALES Y MÉTODOS: Estudio descriptivo, retrospectivo, de corte trasversal llevado a cabo entre abril de 2013 y abril de 2016.  RESULTADOS: Durante el periodo de tiempo evaluado, se sometieron un total de 10 pacientes a TMSS. La edad media de los pacientes fue 62 años. Todos los pacientes tenían una buena clase funcional previa al ACVi, definida como una escala modificada de Rankin de 0 a 2. Al momento de la consulta, la escala de Rankin modificada fue 4. Los pacientes se sometieron a estrategia reperfusión combinada que consta de trombolisis intravenosa más trombectomía mecánica. Sin embargo, un 40 % de los pacientes tenía contraindicación para trombolisis. La mortalidad fue de 20 %, al igual que el sangrado cerebral que se presentó en 20 % de los pacientes y el Rankin modificado mejoró a lo largo del seguimiento en el 70 % de los pacientes, con un total de 50 % de pacientes que lograron independencia funcional significativa.  CONCLUSIÓN: Parece haber impacto importante en la independencia funcional de pacientes sometidos a estrategia combinada de reperfusión cerebral con el uso de stents recuperadores, sin diferencia en la seguridad y mortalidad comparado con la estrategia estándar.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[SUMMARY  OBJECTIVE: This paper describes the clinical features, treatment indications, mortality and severity of global disability in the follow up outcomes in isquemic cerebrovascular stroke patients submitted to mechanical thrombectomy.  MATERIALS AND METHODS: Retrospective, descriptive, cross-sectional study conducted from April 2013 to April 2016.  RESULTS: During the study period, ten patients underwent mechanical thrombectomy. Mean age was 62, median modified Rankin Scale Score at acceptance was 4. Initially, all patients had a combined reperfusion approach, unless there were contraindications. Intravenous thrombolysis was contraindicated in 40% of patients. Mortality Trombectomía mecánica en pacientes con ataque cerebrovascular isquémico: serie de casos en un centro de referencia colombiano rate was 20% as well as intraparenchimal hemorrhage. Modified Rankin Scale improved during follow up in 70% of patients. Of these, functional independence was achieved by 50% of patients.  CONCLUSION:  it seems to be a functional independence impact on patients submitted to mechanical thrombectomy. There is not difference in safety and mortality outcomes.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[accidente cerebrovascular]]></kwd>
<kwd lng="es"><![CDATA[hemorragia cerebral]]></kwd>
<kwd lng="es"><![CDATA[stent recuperador]]></kwd>
<kwd lng="es"><![CDATA[tratamiento endovas-cular]]></kwd>
<kwd lng="es"><![CDATA[trombectomía mecánica]]></kwd>
<kwd lng="es"><![CDATA[terapia trombolítica]]></kwd>
<kwd lng="es"><![CDATA[(DeCS)]]></kwd>
<kwd lng="en"><![CDATA[Stroke]]></kwd>
<kwd lng="en"><![CDATA[endovascular procedures]]></kwd>
<kwd lng="en"><![CDATA[stroke]]></kwd>
<kwd lng="en"><![CDATA[thrombectomy]]></kwd>
<kwd lng="en"><![CDATA[stent retriever]]></kwd>
<kwd lng="en"><![CDATA[thrombolityc therapy]]></kwd>
<kwd lng="en"><![CDATA[(MeSH)]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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