Intracranial Rescue Stent Angioplasty After Stent-Retriever Thrombectomy : Multicenter Experience

Clinical Neuroradiology
Robert ForbrigFranziska Dorn

Abstract

Stent-retriever thrombectomy (SRT) for acute intracranial large artery occlusion (LAO) may not result in permanent recanalization in rare cases, e.g. due to an underlying stenosis or dissection. In this specific patient group, rescue stent angioplasty (RSA) may be the only treatment option to achieve permanent vessel patency and potentially a good clinical outcome. To date, the experience with RSA is limited. In this retrospective analysis, interventional and clinical data of patients with acute intracranial LAO of the anterior and posterior circulation who underwent RSA after SRT due to an underlying lesion between 2012-2017 in four neurovascular centers were studied. In this study 34 patients (mean age 67 years) were included whereby 18 patients had anterior circulation LAO and 16 patients posterior circulation LAO. The SRT maneuver count ranged between 1 and 15 (median 2). Indications for RSA were an immediate re-occlusion in 25 (74%), and a persistent high-grade stenosis in 9 patients (26%). The RSA was technically feasible in 33 patients (97%). A mTICI 2b/3 result was obtained in 26 patients (76%). Median onset-to-recanalization time was 248 min (range 80-650 min). After 3 months 10/34 patients (29%) had a good clinical ou...Continue Reading

References

Apr 17, 2008·European Journal of Anaesthesiology. Supplement·F A RasuloA Lavinio
Aug 19, 2008·International Journal of Stroke : Official Journal of the International Stroke Society·Lawrence K S Wong
Sep 26, 2008·The New England Journal of Medicine·Werner HackeUNKNOWN ECASS Investigators
Oct 16, 2010·Stroke; a Journal of Cerebral Circulation·C RothW Reith
Sep 9, 2011·The New England Journal of Medicine·Marc I ChimowitzUNKNOWN SAMMPRIS Trial Investigators
Oct 22, 2011·Lancet Neurology·Heinrich P MattleGerhard Schroth
Mar 22, 2012·Journal of Neurointerventional Surgery·Tommy AnderssonMagnus Kaijser
Nov 6, 2012·AJNR. American Journal of Neuroradiology·M Espinosa de RuedaA Moreno
Mar 7, 2013·Stroke; a Journal of Cerebral Circulation·Lars KellertSibylle Stampfl
May 7, 2013·Journal of Neurointerventional Surgery·Isabelle MourandAlain Bonafé
Aug 8, 2013·Stroke; a Journal of Cerebral Circulation·Osama O ZaidatUNKNOWN STIR Thrombolysis in Cerebral Infarction (TICI) Task Force
Nov 30, 2013·AJNR. American Journal of Neuroradiology·M MöhlenbruchM Pham
Dec 18, 2014·The New England Journal of Medicine·Olvert A BerkhemerUNKNOWN MR CLEAN Investigators
Feb 12, 2015·The New England Journal of Medicine·Bruce C V CampbellUNKNOWN EXTEND-IA Investigators
Feb 12, 2015·The New England Journal of Medicine·Mayank GoyalUNKNOWN ESCAPE Trial Investigators
Apr 18, 2015·The New England Journal of Medicine·Jeffrey L SaverUNKNOWN SWIFT PRIME Investigators
Apr 18, 2015·The New England Journal of Medicine·Tudor G JovinUNKNOWN REVASCAT Trial Investigators
May 9, 2015·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Franziska DornThomas Liebig
Jan 15, 2016·International Journal of Stroke : Official Journal of the International Stroke Society·Nils WahlgrenUNKNOWN ESO-KSU, ESO, ESMINT, ESNR and EAN
Jul 23, 2016·Stroke; a Journal of Cerebral Circulation·Jang-Hyun BaekJoonsang Yoo
Jul 28, 2016·International Journal of Stroke : Official Journal of the International Stroke Society·Jens FiehlerPeter D Schellinger
Nov 14, 2017·The New England Journal of Medicine·Raul G NogueiraUNKNOWN DAWN Trial Investigators
Jan 25, 2018·The New England Journal of Medicine·Gregory W AlbersUNKNOWN DEFUSE 3 Investigators

❮ Previous
Next ❯

Citations

Nov 26, 2018·Journal of Neurointerventional Surgery·Hannes LeischnerJens Fiehler
Mar 4, 2020·Journal of the American Heart Association·Christian Paul StrackeUta Hanning
Mar 4, 2020·Journal of Neurointerventional Surgery·Lukas MeyerMaxim Bester
Aug 30, 2018·Journal of Neurointerventional Surgery·Fernando DelgadoRoberto Valverde Moyano

❮ Previous
Next ❯

Related Concepts

Related Feeds

Carotid Artery Diseases

Carotid artery disease is a group of pathological conditions of the carotid artery. Discover the latest research on carotid artery disease here.