1Anis Nassif

1Lebanese American University

Background(s):

The Comprehensive Stroke center was established in february 2017 at the Lebanese American University in Beirut Lebanon as the only stroke center in the country . It offers all aspects of neurointerventional treatments .Despite all the challenges our country and medical system are facing , we managed to perform over 250 mechanical thrombectomies with over 80 % TICI 2c/ 3  recanalizations and successful mrs scores at 90 days . We would like to share our data and experience as well our financial difficulties in overcoming our many daily challenges in Lebanon

Material(s) and Method(s):

Retrospective analysis of all mechanical thrombectomy patients and their outcome and return to performing daily life activities and mrs scores .

About 80 % with ADAPT aspiration technique using the Penumbra aspiration system.10% with stentrievers using TREVO and Embotrap 10% with combined aspiration and stentrievers

Result(s):

In our center , we have predominantly partnered with Penumbra using the Ace 68 and Jet  aspiration catheters to obtain about 80 % successful recanalization after first or second pass to successfully treat LVO in the carotid or M1 segment as well as about 20 % tandem lesions . We found no difference in outcome with aspiration or stentrievers or combined approach in obtaining TICI 2c or 3 recanalization on first / second pass .

Conclusion(s):

Despite all the challenges our country Lebanon is facing , we managed to open a comprehensive stroke center and successfully treat patients with LVO and devastating NIHSS scores of greater than 12 with an 80% recanalization success rate . We are trying our best to educate the community and the country on stroke prevention and treatment modalities available in our state of the art comprehensive stroke center .