Academic Journal

Rescue intracranial permanent stenting for refractory occlusion following thrombectomy: a propensity matched analysis

التفاصيل البيبلوغرافية
العنوان: Rescue intracranial permanent stenting for refractory occlusion following thrombectomy: a propensity matched analysis
المؤلفون: Ifergan, Heloise, Dargazanli, Cyril, Ben Hassen, Wagih, Hak, Jean-Francois, Gory, Benjamin, Ognard, Julien, Premat, Kevin, Marnat, Gaultier, Kerleroux, Basile, Zhu, Francois, Bellanger, Guillaume, Sporns, Peter B, Charbonnier, Guillaume, Forestier, Géraud, Caroff, Jildaz, Fauché, Cédric, Clarencon, Frédéric, Janot, Kevin, Lapergue, Bertrand, Boulouis, Gregoire, for the ETIS registry collaborators and the JENI research collaborative, Adam, Sarah, Raaisi, Amira Al, Alamowitch, Sonia, Alb, Lionel, Albucher, Jean-Francois, Alexandre, Pierre Louis, Alias, Quentin, Anxionnat, Francerené, Arquizan, Caroline, Audibert, Gérard, Ballan, Guillaume, Bani-Sadr, Alexandre, Bannier, Stephanie, Baptiste, Laura, Barbier, Charlotte, Baronnet, Flore, Barreau, Xavier, Barroso, Bruno Thierry, Barthel, Grégoire, Beaufreton, Edouard, Beaumont, Marine, Bejot, Yannick, Hassen, Wagih Ben, Benoit, Charline, Berge, Jérome, Bernady, Patricia, Berthet, Corentin, Berthezene, Yves, Beyragued, Mehdi, Bibi, Richard, Biondi, Alessandra, Blanc, Raphaël, Boisseau, William, Bonaz, Clémentine, Bonnet, Louise, Bonneville, Fabrice, Bottin, Laure, Bouamra, Benjamin, Boubagra, Kamel, Bouchart, Jean, Boulanger, Marion, Boulouis, Grégoire, Bourcier, Romain, Bourdain, Frédéric, Bourgois, Nathalie, Boustia, Abdelghani Fakhreddine, Bretonniere, Arnaud, Brezeanu, Madalina, Briau, Pierre, Bruguet, Marie, Burel, Julien, Cagnazzo, Federico, Cailliez, Hélène, Calviere, Lionel, Cappucci, Matteo, Castagnet, Hélène, Caucheteux, Nathalie, Chabert, Emmanuel, Chalumeau, Vanessa, Charara, Stéphane, Chassin, Olivier, Chedeville, Francois, Chen, Bailiang, Chivot, Cyril, Cho, Tae-Hee, Cogez, Julien, Cognard, Christophe, Comby, Pierre Olivier, Consoli, Arturo, Coris, Jordan, Cortese, Jonathan, Corti, Lucas, Coskun, Oguzhan, Costalat, Vincent, Courret, Thomas, Courselle, Audrey, Crozier, Sophie, Cuisenier, Pauline, Dahan, Camille, Darcourt, Jean, Duport, Benjamin Daumas, Gaalon, Solene De, Debiais, Séverine, Debruxelles, Sabrina, Delaforge, Kevin, Delorme, Stephen, Delvoye, Francois, Demasles, Stéphanie, Denier, Christian, Derelle, Anne-Laure, Derex, Laurent, Derraz, Imad, Desal, Hubert, Desdoit, Xavier, Desilles, Jean-Philippe, Detante, Olivier, Maria, Federico Di, Douarinou, Marian, Doucet, Alexandre, Duloquin, Gaulthier, Eimad, Shotar, Eker, Omer, Ellie, Emmanuel, Escalard, Simon, Eugene, Francois, Evrard, Serge, Wiki, Isabelle Favre, Fernandez, Manuel, Ferre, Jean-Christophe, Ferrier, Anna, Filip, Andrea, Flabeau, Olivier, Fontaine, Julia, Fontaine, Louis, Gallas, Sophie, Gascou, Grégory, Gaudron, Marie, Gauvrit, Jean-Yves, Gelmini, Christophe, Gentric, Jean-Christophe, Ghazanfari, Sam, Gheoca, Roxana, Girot, Jean Baptiste, Goas, Philippe, Godard, Sophie, Gonnet, Alexis, Gorza, Lucas, Guettier, Sophie, Guillen, Maud, Guillon, Benoît, Heck, Olivier, Hermier, Marc, Higue, David, Hissier, Julien, Hua, Vi-Tuan, Hubrecht, Régis, Humbertjean-Selton, Lisa, Ifergan, Héloïse, Ikka, Leon, Jabeur, Waliyde, Januel, Anne Christine, Jouan, Jérémy, Jourdain, Aurore, Kastler, Adrian, Katia, Garambois, L’allinec, Vincent, Porte, Estelle La, Lacour, Jean-Christophe, Laferte, Quentin, Lagoarde-Segot, Laurent, Lamy, Chantal, Lapotre, Thibault, Lassalle, Maria Veronica, Laubacher, Morgane, Lauer, Valérie, Lavandier, Karine, Guen, Arnaud Le, Lebras, Anthony, Lecluse, Alderic, Leder, Sara, Lefebvre, Margaux, Lefevre, Pierre-Henri, Leger, Anne, Legris, Nicolas, Legris, Loic, Lemogne, Brivale, Lenck, Stéphanie, Lenoble, Cédric, Lepine, Zoé, Liao, Liang, Liegey, Jean-Sébastien, Lionnet, Arthur, Lteif, Elie, Lucas, Ludovic, Mahmoudi, Mehdi, Maier, Benjamin, Malrain, Cécile, Marasescu, Pierre-Francois, Raluca, Marechal, Denis, Massardier, Evelyne, Masson, Agnès, Mazhigi, Mikael, Mechtouff, Laura, Merrien, Francois-Mathias, Mihalea, Cristian, Mione, Gioia, Molinier, Elisabeth, Moreno, Ricardo, Moulin, Solène, Moulin, Thierry, Mounayer, Charbel, Mourand, Isabelle, Naggara, Olivier, Nguyen, Thi-Ngoc-Phuong, Nighoghossian, Norbert, Olindo, Stephane, Olivot, Jean-Marc, Ong, Elodie, Ouin, Elisa, Ozanne, Augustin, Ozkul-Wermester, Ozlem, Pagano, Paolo, Paiusan, Laurentiu, Papagiannaki, Chrysanthi, Papaxanthos, Jean, Papillon, Lisa, Paris, Pauline, Pasco-Papon, Anne, Pasi, Marco, Pegat, Benoit, Pierre-Paul, Irène, Piotin, Michel, Pizzuto, Silvia, Planel, Sophie, Podar, Iona, Poli, Mathilde, Pop, Raoul, Potenza, Julia, Preterre, Cécile, Prud’hon, Sabine, Quenardelle, Véronique, Raposo, Nicolas, Raquin, Marie, Rascle, Lucie, Raybaud, Nicolas, Redjem, Hocine, Reitter, Marie, Renou, Pauline, Richard, Sébastien, Richter, Johann Sebastian, Ricolfi, Frédéric, Riva, Roberto, Rodesch, Georges, Rodriguez-Regent, Christine, Ronziere, Thomas, Rosso, Charlotte, Rouchaud, Aymeric, Rousseau, Pierre Yves, Roxanna, Ameli, Ruche, Valérie, Sagnier, Sharmila, Sahnoun, Maher, Salaris, Fabrizio, Saleme, Suzana, Sarov, Mariana, Schmitt, Emmanuelle, Schneckenburger, Romain, Serre, Isabelle, Sgreccia, Alessandro, Sibon, Igor, Smajda, Stanislas, Soize, Sébastien, Soulages, Antoine, Sourour, Nader, Spelle, Laurent, Tabarna, Adriana, Tall, Philippe, Tchikviladze, Maia, Schiphorst, Adrien Ter, Tessier, Guillaume, Thouant, Pierre, Timsit, Serge, Tourdias, Thomas, Touze, Emmanuel, Tracol, Clément, Triquenot, Aude, Trystram, Denis, Trzeciak, Malwina, Turc, Guillaume, Turjman, Francis, Vannier, Stephane, Vassilev, Christine, Venditti, Laura, Veunac, Louis, Viakhireva, Irina, Vial, Jérémie, Viguier, Alain, Vivien, Denis, Voicu, Marcela, Wang, Adrien, Weisenburger-Lile, David, Wietrich, Anthony, Wittwer, Aymeric, Wolff, Valérie, Yger, Marion, Zerroug, Abderrahim, Agripnidis, Thibault, Allard, Julien, Annan, Mariam, Barrot, Valère, Benali, Amel, Bintner, Marc, Bizimana, Wilson, Bolognini, Federico, Boucherit, Julien, Bretzner, Martin, Charron, Vladimir, Aouni, Mourad Cheddad El, Coltea, Petru Florin, Comby, Pierre-Olivier, Drai, Maxime, Dumas, Victor, Durous, Vincent, Ahmadi, Ahmed-Ali El, Houfia, Abderrahim El, Elhorany, Mahmoud, Ferhat, Sérine, Gariel, Florent, Gazzola, Sébastien, Gilbert, Clara, Girot, Jean-Baptiste, Guedon, Alexis, Hanafi, Riyad, Herbreteau, Denis, Hoche, Clémence, Holay, Quentin, Janvier, Paul, Kalsoum, Erwah, Nomenjanahary, Finoana Laza, Manceau, Pierre-Francois, Mekhail, Maichael, Menegon, Patrice, Mihoc, Dan Sorin, Mouyal, Samuel, Naciri, Chama, Nasri, Soumia, Ouazzani, Nezha, Ouslim, Zineb, Primikris, Panagiotis, Psychogios, Marios, Quentin, Alias, Raynaud, Nicolas, Reyre, Anthony, Riquelme, Carlos, Sachet, Marina, Sedat, Jacques, Shotar, Eimad, Tahon, Florence, Testud, Benoit, Vancheri, Sergio, Velasco, Stéphane, Vingadassalom, Sivadji, Vitale, Giovanni, Zannoni, Riccardo
بيانات النشر: BMJ Publishing Group Ltd
سنة النشر: 2024
المجموعة: HighWire Press (Stanford University)
مصطلحات موضوعية: Ischemic stroke
الوصف: Background Rescue intracranial stenting (RIS) can be used in refractory large vessel occlusion (LVO) after mechanical thrombectomy (MT). We aimed to assess the safety and efficacy of RIS versus a propensity matched sample of patients with persistent LVO. Methods We retrospectively analysed a multicenter retrospective pooled cohort of patients with anterior LVO (2015−2021) treated with MT, and identified patients with at least three passes and a modified Thrombolysis In Cerebral Infarction (mTICI) score of 0 to 2a. Propensity score matching was used to account for determinants of outcome in patients with or without RIS. The study outcomes included 3 months modified Rankin Scale (mRS) and symptomatic hemorrhagic transformation (HT). Results 420 patients with a refractory anterior occlusion were included, of which 101 were treated with RIS (mean age 69 years). Favorable outcome (mRS 0–2) was more frequent in patients with a patent stent at day 1 (53% vs 6%, P<0.001), which was independently associated with an early dual antiplatelet regimen (P<0.05). In the propensity matched sample, patients treated with RIS versus without RIS had similar rates of favorable outcomes (36.8% vs 30.3%, P=0.606). Patients with RIS showed a favorable shift in the overall mRS distributions (common adjusted OR 0.74, 95% CI 0.60 to 0.91, P=0.006). Symptomatic HT was marginally more frequent in the RIS group (9% vs 3%, P=0.07), and there was no difference in 3-month mortality. Conclusion In selected patients with a refractory intracranial occlusion despite at least three thrombectomy passes, RIS may be associated with an overall shift towards more favorable clinical outcome, and no significant increase in the odds of symptomatic HT or death.
نوع الوثيقة: text
وصف الملف: text/html
اللغة: English
Relation: http://jnis.bmj.com/cgi/content/short/16/2/115; http://dx.doi.org/10.1136/jnis-2022-020012
DOI: 10.1136/jnis-2022-020012
الاتاحة: http://jnis.bmj.com/cgi/content/short/16/2/115
https://doi.org/10.1136/jnis-2022-020012
Rights: Copyright (C) 2024, Society of NeuroInterventional Surgery
رقم الانضمام: edsbas.C3C5E7E1
قاعدة البيانات: BASE
الوصف
DOI:10.1136/jnis-2022-020012