Rescue therapy after failed thrombectomy in medium/distal vessel occlusions: A retrospective analysis of an international, multi-center registry.
Обработка статьи · этапы, ошибки и управление
Ошибки и ограничения
История · было → стало
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Anastasiou Aikaterini, Brehm Alex, Dobrocky Tomas, Mujanovic Adnan, de Dios Lascuevas Marta, Carmona Fuentes Tomas, López-Frías López-Jurado Alfonso, Hidalgo Valverde Blanca, Berlis Ansgar, Maurer Christoph J, Nguyen Thanh N, Abdalkader Mohamad, Klein Piers, Thevoz Guillaume, Michel Patrik, Kaschner Marius, Weiss Daniel, Alexandre Andrea M, Pedicelli Alessandro, Machi Paolo, Bernava Gianmarco, Kuwahara Shuntaro, Uchida Kazutaka, Wenderoth Jason, Joshi Anirudh, Karwacki Grzegorz, Lakatos Lehel-Barna, Tessitore Agostino, Vinci Sergio Lucio, Cervo Amedeo, Rollo Claudia, Hui Ferdinand, Mozumder Aaisha Siddiqua, Romano Daniele Giuseppe, Flora Gianmarco, Goyal Nitin, Batra Vivek, Inoa Violiza, Cognard Christophe, Hoferica Matúš, Rautio Riitta, Kaiser Daniel, Alph Hanna, Clarke Julian, Hug Nick, Koch Alma, Schulze-Zachau Victor, Rommers Nikki, Katan Mira, Psychogios Marios-Nikos
Аннотация
METHODS: We performed an analysis of the "Blood pressure and Antiplatelet medication management after reScue angioplasty after failed Endovascular treatment in Large and distal vessel occlusions with probable IntraCranial Atherosclerotic Disease" (BASEL ICAD) retrospective registry. All MDVO stroke patients were included in the analysis.
RESULTS: Out of the 718 registry patients, 87 (12.1%) presented with an MDVO. Fifty-six patients (64.4%) showed an occlusion of the M2 segment of the middle cerebral artery. Rescue stenting was performed in 78 patients (89.7%) while balloon angioplasty alone was performed in 9 patients (10.3%). Successful reperfusion (mTICI score ⩾ 2b) was achieved in 73 (83.9%) patients after rescue therapy. Symptomatic intracranial hemorrhage (sICH) occurred in 8 patients (9.2%) and post-treatment stent occlusion in 12 patients (13.8%). Ninety days mortality was 20.7%. Twenty-eight patients (32.2%) achieved functional independence at 90 days (modified Rankin Scale 0-2).
CONCLUSION: Rescue therapy with stenting and/or balloon angioplasty in patients undergoing EVT for isolated MDVO with suspected underlying intracranial atherosclerotic disease is an effective reperfusion strategy but is associated with complications and poor functional outcomes.