Outcomes of Rescue Endovascular Treatment of Emergent Large Vessel Occlusion in Patients With Underlying Intracranial Atherosclerosis: Insights From STAR
Background Some emergent large vessel occlusions (ELVOs) are refractory to reperfusion because of underlying intracranial atherosclerosis (ICAS), often requiring rescue therapy (RT) with balloon angioplasty, stenting, or both. In this study, we investigate the safety, efficacy, and long‐term outcome...
Ausführliche Beschreibung
Gespeichert in:
| Autor*in: |
Sami Al Kasab [verfasserIn] Eyad Almallouhi [verfasserIn] Ali Alawieh [verfasserIn] Stacey Wolfe [verfasserIn] Kyle M. Fargen [verfasserIn] Adam S. Arthur [verfasserIn] Nitin Goyal [verfasserIn] Travis Dumont [verfasserIn] Peter Kan [verfasserIn] Joon‐Tae Kim [verfasserIn] Reade De Leacy [verfasserIn] Ilko Maier [verfasserIn] Joshua Osbun [verfasserIn] Ansaar Rai [verfasserIn] Pascal Jabbour [verfasserIn] Jonathan A. Grossberg [verfasserIn] Min S. Park [verfasserIn] Robert M. Starke [verfasserIn] Roberto Crosa [verfasserIn] Alejandro M. Spiotta [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
2021 |
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| Schlagwörter: |
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| Übergeordnetes Werk: |
In: Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease - Wiley, 2012, 10(2021), 12 |
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| Übergeordnetes Werk: |
volume:10 ; year:2021 ; number:12 |
| Links: |
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| DOI / URN: |
10.1161/JAHA.120.020195 |
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| Katalog-ID: |
DOAJ027715094 |
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| 245 | 1 | 0 | |a Outcomes of Rescue Endovascular Treatment of Emergent Large Vessel Occlusion in Patients With Underlying Intracranial Atherosclerosis: Insights From STAR |
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| 520 | |a Background Some emergent large vessel occlusions (ELVOs) are refractory to reperfusion because of underlying intracranial atherosclerosis (ICAS), often requiring rescue therapy (RT) with balloon angioplasty, stenting, or both. In this study, we investigate the safety, efficacy, and long‐term outcomes of RT in the setting of mechanical thrombectomy for ICAS‐related ELVO. Methods and Results We queried the databases of 10 thrombectomy‐capable centers in North America and Europe included in STAR (Stroke Thrombectomy and Aneurysm Registry). Patients with ELVO who underwent ICAS‐related RT were included. A matched sample was produced for variables of age, admission National Institute of Health Stroke Scale, Alberta Stroke Program Early CT Score, onset to groin puncture time, occlusion site, and final recanalization. Out of 3025 patients with MT, 182 (6%) patients required RT because of underlying ICAS. Balloon angioplasty was performed on 122 patients, and 117 patients had intracranial stenting. In the matched analysis, 141 patients who received RT matched to a similar number of controls. The number of thrombectomy passes was higher (3 versus 1, P<0.001), and procedural time was longer in the RT group (52 minutes versus 36 minutes, P=0.004). There was a higher rate of symptomatic hemorrhagic transformation in the RT group (7.8% versus 4.3%, P=0.211), however, the difference was not significant. There was no difference in 90‐day modified Rankin scale of 0 to 2 (44% versus 47.5%, P=0.543) between patients in the RT and control groups. Conclusions In patients with ELVO with underlying ICAS requiring RT, despite longer procedure time and a more thrombectomy passes, the 90 days favorable outcomes were comparable with patients with embolic ELVO. | ||
| 650 | 4 | |a acute stroke | |
| 650 | 4 | |a balloon angioplasty | |
| 650 | 4 | |a intracranial atherosclerosis | |
| 650 | 4 | |a mechanical thrombectomy | |
| 650 | 4 | |a rescue therapy | |
| 650 | 4 | |a stenting | |
| 653 | 0 | |a Diseases of the circulatory (Cardiovascular) system | |
| 700 | 0 | |a Eyad Almallouhi |e verfasserin |4 aut | |
| 700 | 0 | |a Ali Alawieh |e verfasserin |4 aut | |
| 700 | 0 | |a Stacey Wolfe |e verfasserin |4 aut | |
| 700 | 0 | |a Kyle M. Fargen |e verfasserin |4 aut | |
| 700 | 0 | |a Adam S. Arthur |e verfasserin |4 aut | |
| 700 | 0 | |a Nitin Goyal |e verfasserin |4 aut | |
| 700 | 0 | |a Travis Dumont |e verfasserin |4 aut | |
| 700 | 0 | |a Peter Kan |e verfasserin |4 aut | |
| 700 | 0 | |a Joon‐Tae Kim |e verfasserin |4 aut | |
| 700 | 0 | |a Reade De Leacy |e verfasserin |4 aut | |
| 700 | 0 | |a Ilko Maier |e verfasserin |4 aut | |
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| 700 | 0 | |a Ansaar Rai |e verfasserin |4 aut | |
| 700 | 0 | |a Pascal Jabbour |e verfasserin |4 aut | |
| 700 | 0 | |a Jonathan A. Grossberg |e verfasserin |4 aut | |
| 700 | 0 | |a Min S. Park |e verfasserin |4 aut | |
| 700 | 0 | |a Robert M. Starke |e verfasserin |4 aut | |
| 700 | 0 | |a Roberto Crosa |e verfasserin |4 aut | |
| 700 | 0 | |a Alejandro M. Spiotta |e verfasserin |4 aut | |
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10.1161/JAHA.120.020195 doi (DE-627)DOAJ027715094 (DE-599)DOAJ2ee02b3ba8d540b08ad8d5c572875900 DE-627 ger DE-627 rakwb eng RC666-701 Sami Al Kasab verfasserin aut Outcomes of Rescue Endovascular Treatment of Emergent Large Vessel Occlusion in Patients With Underlying Intracranial Atherosclerosis: Insights From STAR 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background Some emergent large vessel occlusions (ELVOs) are refractory to reperfusion because of underlying intracranial atherosclerosis (ICAS), often requiring rescue therapy (RT) with balloon angioplasty, stenting, or both. In this study, we investigate the safety, efficacy, and long‐term outcomes of RT in the setting of mechanical thrombectomy for ICAS‐related ELVO. Methods and Results We queried the databases of 10 thrombectomy‐capable centers in North America and Europe included in STAR (Stroke Thrombectomy and Aneurysm Registry). Patients with ELVO who underwent ICAS‐related RT were included. A matched sample was produced for variables of age, admission National Institute of Health Stroke Scale, Alberta Stroke Program Early CT Score, onset to groin puncture time, occlusion site, and final recanalization. Out of 3025 patients with MT, 182 (6%) patients required RT because of underlying ICAS. Balloon angioplasty was performed on 122 patients, and 117 patients had intracranial stenting. In the matched analysis, 141 patients who received RT matched to a similar number of controls. The number of thrombectomy passes was higher (3 versus 1, P<0.001), and procedural time was longer in the RT group (52 minutes versus 36 minutes, P=0.004). There was a higher rate of symptomatic hemorrhagic transformation in the RT group (7.8% versus 4.3%, P=0.211), however, the difference was not significant. There was no difference in 90‐day modified Rankin scale of 0 to 2 (44% versus 47.5%, P=0.543) between patients in the RT and control groups. Conclusions In patients with ELVO with underlying ICAS requiring RT, despite longer procedure time and a more thrombectomy passes, the 90 days favorable outcomes were comparable with patients with embolic ELVO. acute stroke balloon angioplasty intracranial atherosclerosis mechanical thrombectomy rescue therapy stenting Diseases of the circulatory (Cardiovascular) system Eyad Almallouhi verfasserin aut Ali Alawieh verfasserin aut Stacey Wolfe verfasserin aut Kyle M. Fargen verfasserin aut Adam S. Arthur verfasserin aut Nitin Goyal verfasserin aut Travis Dumont verfasserin aut Peter Kan verfasserin aut Joon‐Tae Kim verfasserin aut Reade De Leacy verfasserin aut Ilko Maier verfasserin aut Joshua Osbun verfasserin aut Ansaar Rai verfasserin aut Pascal Jabbour verfasserin aut Jonathan A. Grossberg verfasserin aut Min S. Park verfasserin aut Robert M. Starke verfasserin aut Roberto Crosa verfasserin aut Alejandro M. Spiotta verfasserin aut In Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease Wiley, 2012 10(2021), 12 (DE-627)688605427 (DE-600)2653953-6 20479980 nnns volume:10 year:2021 number:12 https://doi.org/10.1161/JAHA.120.020195 kostenfrei https://doaj.org/article/2ee02b3ba8d540b08ad8d5c572875900 kostenfrei https://www.ahajournals.org/doi/10.1161/JAHA.120.020195 kostenfrei https://doaj.org/toc/2047-9980 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_636 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2106 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 10 2021 12 |
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10.1161/JAHA.120.020195 doi (DE-627)DOAJ027715094 (DE-599)DOAJ2ee02b3ba8d540b08ad8d5c572875900 DE-627 ger DE-627 rakwb eng RC666-701 Sami Al Kasab verfasserin aut Outcomes of Rescue Endovascular Treatment of Emergent Large Vessel Occlusion in Patients With Underlying Intracranial Atherosclerosis: Insights From STAR 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background Some emergent large vessel occlusions (ELVOs) are refractory to reperfusion because of underlying intracranial atherosclerosis (ICAS), often requiring rescue therapy (RT) with balloon angioplasty, stenting, or both. In this study, we investigate the safety, efficacy, and long‐term outcomes of RT in the setting of mechanical thrombectomy for ICAS‐related ELVO. Methods and Results We queried the databases of 10 thrombectomy‐capable centers in North America and Europe included in STAR (Stroke Thrombectomy and Aneurysm Registry). Patients with ELVO who underwent ICAS‐related RT were included. A matched sample was produced for variables of age, admission National Institute of Health Stroke Scale, Alberta Stroke Program Early CT Score, onset to groin puncture time, occlusion site, and final recanalization. Out of 3025 patients with MT, 182 (6%) patients required RT because of underlying ICAS. Balloon angioplasty was performed on 122 patients, and 117 patients had intracranial stenting. In the matched analysis, 141 patients who received RT matched to a similar number of controls. The number of thrombectomy passes was higher (3 versus 1, P<0.001), and procedural time was longer in the RT group (52 minutes versus 36 minutes, P=0.004). There was a higher rate of symptomatic hemorrhagic transformation in the RT group (7.8% versus 4.3%, P=0.211), however, the difference was not significant. There was no difference in 90‐day modified Rankin scale of 0 to 2 (44% versus 47.5%, P=0.543) between patients in the RT and control groups. Conclusions In patients with ELVO with underlying ICAS requiring RT, despite longer procedure time and a more thrombectomy passes, the 90 days favorable outcomes were comparable with patients with embolic ELVO. acute stroke balloon angioplasty intracranial atherosclerosis mechanical thrombectomy rescue therapy stenting Diseases of the circulatory (Cardiovascular) system Eyad Almallouhi verfasserin aut Ali Alawieh verfasserin aut Stacey Wolfe verfasserin aut Kyle M. Fargen verfasserin aut Adam S. Arthur verfasserin aut Nitin Goyal verfasserin aut Travis Dumont verfasserin aut Peter Kan verfasserin aut Joon‐Tae Kim verfasserin aut Reade De Leacy verfasserin aut Ilko Maier verfasserin aut Joshua Osbun verfasserin aut Ansaar Rai verfasserin aut Pascal Jabbour verfasserin aut Jonathan A. Grossberg verfasserin aut Min S. Park verfasserin aut Robert M. Starke verfasserin aut Roberto Crosa verfasserin aut Alejandro M. Spiotta verfasserin aut In Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease Wiley, 2012 10(2021), 12 (DE-627)688605427 (DE-600)2653953-6 20479980 nnns volume:10 year:2021 number:12 https://doi.org/10.1161/JAHA.120.020195 kostenfrei https://doaj.org/article/2ee02b3ba8d540b08ad8d5c572875900 kostenfrei https://www.ahajournals.org/doi/10.1161/JAHA.120.020195 kostenfrei https://doaj.org/toc/2047-9980 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_636 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2106 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 10 2021 12 |
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10.1161/JAHA.120.020195 doi (DE-627)DOAJ027715094 (DE-599)DOAJ2ee02b3ba8d540b08ad8d5c572875900 DE-627 ger DE-627 rakwb eng RC666-701 Sami Al Kasab verfasserin aut Outcomes of Rescue Endovascular Treatment of Emergent Large Vessel Occlusion in Patients With Underlying Intracranial Atherosclerosis: Insights From STAR 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background Some emergent large vessel occlusions (ELVOs) are refractory to reperfusion because of underlying intracranial atherosclerosis (ICAS), often requiring rescue therapy (RT) with balloon angioplasty, stenting, or both. In this study, we investigate the safety, efficacy, and long‐term outcomes of RT in the setting of mechanical thrombectomy for ICAS‐related ELVO. Methods and Results We queried the databases of 10 thrombectomy‐capable centers in North America and Europe included in STAR (Stroke Thrombectomy and Aneurysm Registry). Patients with ELVO who underwent ICAS‐related RT were included. A matched sample was produced for variables of age, admission National Institute of Health Stroke Scale, Alberta Stroke Program Early CT Score, onset to groin puncture time, occlusion site, and final recanalization. Out of 3025 patients with MT, 182 (6%) patients required RT because of underlying ICAS. Balloon angioplasty was performed on 122 patients, and 117 patients had intracranial stenting. In the matched analysis, 141 patients who received RT matched to a similar number of controls. The number of thrombectomy passes was higher (3 versus 1, P<0.001), and procedural time was longer in the RT group (52 minutes versus 36 minutes, P=0.004). There was a higher rate of symptomatic hemorrhagic transformation in the RT group (7.8% versus 4.3%, P=0.211), however, the difference was not significant. There was no difference in 90‐day modified Rankin scale of 0 to 2 (44% versus 47.5%, P=0.543) between patients in the RT and control groups. Conclusions In patients with ELVO with underlying ICAS requiring RT, despite longer procedure time and a more thrombectomy passes, the 90 days favorable outcomes were comparable with patients with embolic ELVO. acute stroke balloon angioplasty intracranial atherosclerosis mechanical thrombectomy rescue therapy stenting Diseases of the circulatory (Cardiovascular) system Eyad Almallouhi verfasserin aut Ali Alawieh verfasserin aut Stacey Wolfe verfasserin aut Kyle M. Fargen verfasserin aut Adam S. Arthur verfasserin aut Nitin Goyal verfasserin aut Travis Dumont verfasserin aut Peter Kan verfasserin aut Joon‐Tae Kim verfasserin aut Reade De Leacy verfasserin aut Ilko Maier verfasserin aut Joshua Osbun verfasserin aut Ansaar Rai verfasserin aut Pascal Jabbour verfasserin aut Jonathan A. Grossberg verfasserin aut Min S. Park verfasserin aut Robert M. Starke verfasserin aut Roberto Crosa verfasserin aut Alejandro M. Spiotta verfasserin aut In Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease Wiley, 2012 10(2021), 12 (DE-627)688605427 (DE-600)2653953-6 20479980 nnns volume:10 year:2021 number:12 https://doi.org/10.1161/JAHA.120.020195 kostenfrei https://doaj.org/article/2ee02b3ba8d540b08ad8d5c572875900 kostenfrei https://www.ahajournals.org/doi/10.1161/JAHA.120.020195 kostenfrei https://doaj.org/toc/2047-9980 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_636 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2106 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 10 2021 12 |
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10.1161/JAHA.120.020195 doi (DE-627)DOAJ027715094 (DE-599)DOAJ2ee02b3ba8d540b08ad8d5c572875900 DE-627 ger DE-627 rakwb eng RC666-701 Sami Al Kasab verfasserin aut Outcomes of Rescue Endovascular Treatment of Emergent Large Vessel Occlusion in Patients With Underlying Intracranial Atherosclerosis: Insights From STAR 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background Some emergent large vessel occlusions (ELVOs) are refractory to reperfusion because of underlying intracranial atherosclerosis (ICAS), often requiring rescue therapy (RT) with balloon angioplasty, stenting, or both. In this study, we investigate the safety, efficacy, and long‐term outcomes of RT in the setting of mechanical thrombectomy for ICAS‐related ELVO. Methods and Results We queried the databases of 10 thrombectomy‐capable centers in North America and Europe included in STAR (Stroke Thrombectomy and Aneurysm Registry). Patients with ELVO who underwent ICAS‐related RT were included. A matched sample was produced for variables of age, admission National Institute of Health Stroke Scale, Alberta Stroke Program Early CT Score, onset to groin puncture time, occlusion site, and final recanalization. Out of 3025 patients with MT, 182 (6%) patients required RT because of underlying ICAS. Balloon angioplasty was performed on 122 patients, and 117 patients had intracranial stenting. In the matched analysis, 141 patients who received RT matched to a similar number of controls. The number of thrombectomy passes was higher (3 versus 1, P<0.001), and procedural time was longer in the RT group (52 minutes versus 36 minutes, P=0.004). There was a higher rate of symptomatic hemorrhagic transformation in the RT group (7.8% versus 4.3%, P=0.211), however, the difference was not significant. There was no difference in 90‐day modified Rankin scale of 0 to 2 (44% versus 47.5%, P=0.543) between patients in the RT and control groups. Conclusions In patients with ELVO with underlying ICAS requiring RT, despite longer procedure time and a more thrombectomy passes, the 90 days favorable outcomes were comparable with patients with embolic ELVO. acute stroke balloon angioplasty intracranial atherosclerosis mechanical thrombectomy rescue therapy stenting Diseases of the circulatory (Cardiovascular) system Eyad Almallouhi verfasserin aut Ali Alawieh verfasserin aut Stacey Wolfe verfasserin aut Kyle M. Fargen verfasserin aut Adam S. Arthur verfasserin aut Nitin Goyal verfasserin aut Travis Dumont verfasserin aut Peter Kan verfasserin aut Joon‐Tae Kim verfasserin aut Reade De Leacy verfasserin aut Ilko Maier verfasserin aut Joshua Osbun verfasserin aut Ansaar Rai verfasserin aut Pascal Jabbour verfasserin aut Jonathan A. Grossberg verfasserin aut Min S. Park verfasserin aut Robert M. Starke verfasserin aut Roberto Crosa verfasserin aut Alejandro M. Spiotta verfasserin aut In Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease Wiley, 2012 10(2021), 12 (DE-627)688605427 (DE-600)2653953-6 20479980 nnns volume:10 year:2021 number:12 https://doi.org/10.1161/JAHA.120.020195 kostenfrei https://doaj.org/article/2ee02b3ba8d540b08ad8d5c572875900 kostenfrei https://www.ahajournals.org/doi/10.1161/JAHA.120.020195 kostenfrei https://doaj.org/toc/2047-9980 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_636 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2106 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 10 2021 12 |
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10.1161/JAHA.120.020195 doi (DE-627)DOAJ027715094 (DE-599)DOAJ2ee02b3ba8d540b08ad8d5c572875900 DE-627 ger DE-627 rakwb eng RC666-701 Sami Al Kasab verfasserin aut Outcomes of Rescue Endovascular Treatment of Emergent Large Vessel Occlusion in Patients With Underlying Intracranial Atherosclerosis: Insights From STAR 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background Some emergent large vessel occlusions (ELVOs) are refractory to reperfusion because of underlying intracranial atherosclerosis (ICAS), often requiring rescue therapy (RT) with balloon angioplasty, stenting, or both. In this study, we investigate the safety, efficacy, and long‐term outcomes of RT in the setting of mechanical thrombectomy for ICAS‐related ELVO. Methods and Results We queried the databases of 10 thrombectomy‐capable centers in North America and Europe included in STAR (Stroke Thrombectomy and Aneurysm Registry). Patients with ELVO who underwent ICAS‐related RT were included. A matched sample was produced for variables of age, admission National Institute of Health Stroke Scale, Alberta Stroke Program Early CT Score, onset to groin puncture time, occlusion site, and final recanalization. Out of 3025 patients with MT, 182 (6%) patients required RT because of underlying ICAS. Balloon angioplasty was performed on 122 patients, and 117 patients had intracranial stenting. In the matched analysis, 141 patients who received RT matched to a similar number of controls. The number of thrombectomy passes was higher (3 versus 1, P<0.001), and procedural time was longer in the RT group (52 minutes versus 36 minutes, P=0.004). There was a higher rate of symptomatic hemorrhagic transformation in the RT group (7.8% versus 4.3%, P=0.211), however, the difference was not significant. There was no difference in 90‐day modified Rankin scale of 0 to 2 (44% versus 47.5%, P=0.543) between patients in the RT and control groups. Conclusions In patients with ELVO with underlying ICAS requiring RT, despite longer procedure time and a more thrombectomy passes, the 90 days favorable outcomes were comparable with patients with embolic ELVO. acute stroke balloon angioplasty intracranial atherosclerosis mechanical thrombectomy rescue therapy stenting Diseases of the circulatory (Cardiovascular) system Eyad Almallouhi verfasserin aut Ali Alawieh verfasserin aut Stacey Wolfe verfasserin aut Kyle M. Fargen verfasserin aut Adam S. Arthur verfasserin aut Nitin Goyal verfasserin aut Travis Dumont verfasserin aut Peter Kan verfasserin aut Joon‐Tae Kim verfasserin aut Reade De Leacy verfasserin aut Ilko Maier verfasserin aut Joshua Osbun verfasserin aut Ansaar Rai verfasserin aut Pascal Jabbour verfasserin aut Jonathan A. Grossberg verfasserin aut Min S. Park verfasserin aut Robert M. Starke verfasserin aut Roberto Crosa verfasserin aut Alejandro M. Spiotta verfasserin aut In Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease Wiley, 2012 10(2021), 12 (DE-627)688605427 (DE-600)2653953-6 20479980 nnns volume:10 year:2021 number:12 https://doi.org/10.1161/JAHA.120.020195 kostenfrei https://doaj.org/article/2ee02b3ba8d540b08ad8d5c572875900 kostenfrei https://www.ahajournals.org/doi/10.1161/JAHA.120.020195 kostenfrei https://doaj.org/toc/2047-9980 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_636 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2106 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 10 2021 12 |
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Sami Al Kasab @@aut@@ Eyad Almallouhi @@aut@@ Ali Alawieh @@aut@@ Stacey Wolfe @@aut@@ Kyle M. Fargen @@aut@@ Adam S. Arthur @@aut@@ Nitin Goyal @@aut@@ Travis Dumont @@aut@@ Peter Kan @@aut@@ Joon‐Tae Kim @@aut@@ Reade De Leacy @@aut@@ Ilko Maier @@aut@@ Joshua Osbun @@aut@@ Ansaar Rai @@aut@@ Pascal Jabbour @@aut@@ Jonathan A. Grossberg @@aut@@ Min S. Park @@aut@@ Robert M. Starke @@aut@@ Roberto Crosa @@aut@@ Alejandro M. Spiotta @@aut@@ |
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In this study, we investigate the safety, efficacy, and long‐term outcomes of RT in the setting of mechanical thrombectomy for ICAS‐related ELVO. Methods and Results We queried the databases of 10 thrombectomy‐capable centers in North America and Europe included in STAR (Stroke Thrombectomy and Aneurysm Registry). Patients with ELVO who underwent ICAS‐related RT were included. A matched sample was produced for variables of age, admission National Institute of Health Stroke Scale, Alberta Stroke Program Early CT Score, onset to groin puncture time, occlusion site, and final recanalization. Out of 3025 patients with MT, 182 (6%) patients required RT because of underlying ICAS. Balloon angioplasty was performed on 122 patients, and 117 patients had intracranial stenting. In the matched analysis, 141 patients who received RT matched to a similar number of controls. The number of thrombectomy passes was higher (3 versus 1, P<0.001), and procedural time was longer in the RT group (52 minutes versus 36 minutes, P=0.004). There was a higher rate of symptomatic hemorrhagic transformation in the RT group (7.8% versus 4.3%, P=0.211), however, the difference was not significant. There was no difference in 90‐day modified Rankin scale of 0 to 2 (44% versus 47.5%, P=0.543) between patients in the RT and control groups. 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R - Medicine |
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Sami Al Kasab |
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Sami Al Kasab misc RC666-701 misc acute stroke misc balloon angioplasty misc intracranial atherosclerosis misc mechanical thrombectomy misc rescue therapy misc stenting misc Diseases of the circulatory (Cardiovascular) system Outcomes of Rescue Endovascular Treatment of Emergent Large Vessel Occlusion in Patients With Underlying Intracranial Atherosclerosis: Insights From STAR |
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RC666-701 Outcomes of Rescue Endovascular Treatment of Emergent Large Vessel Occlusion in Patients With Underlying Intracranial Atherosclerosis: Insights From STAR acute stroke balloon angioplasty intracranial atherosclerosis mechanical thrombectomy rescue therapy stenting |
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misc RC666-701 misc acute stroke misc balloon angioplasty misc intracranial atherosclerosis misc mechanical thrombectomy misc rescue therapy misc stenting misc Diseases of the circulatory (Cardiovascular) system |
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misc RC666-701 misc acute stroke misc balloon angioplasty misc intracranial atherosclerosis misc mechanical thrombectomy misc rescue therapy misc stenting misc Diseases of the circulatory (Cardiovascular) system |
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Outcomes of Rescue Endovascular Treatment of Emergent Large Vessel Occlusion in Patients With Underlying Intracranial Atherosclerosis: Insights From STAR |
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Outcomes of Rescue Endovascular Treatment of Emergent Large Vessel Occlusion in Patients With Underlying Intracranial Atherosclerosis: Insights From STAR |
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Sami Al Kasab |
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Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease |
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Sami Al Kasab Eyad Almallouhi Ali Alawieh Stacey Wolfe Kyle M. Fargen Adam S. Arthur Nitin Goyal Travis Dumont Peter Kan Joon‐Tae Kim Reade De Leacy Ilko Maier Joshua Osbun Ansaar Rai Pascal Jabbour Jonathan A. Grossberg Min S. Park Robert M. Starke Roberto Crosa Alejandro M. Spiotta |
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outcomes of rescue endovascular treatment of emergent large vessel occlusion in patients with underlying intracranial atherosclerosis: insights from star |
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RC666-701 |
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Outcomes of Rescue Endovascular Treatment of Emergent Large Vessel Occlusion in Patients With Underlying Intracranial Atherosclerosis: Insights From STAR |
| abstract |
Background Some emergent large vessel occlusions (ELVOs) are refractory to reperfusion because of underlying intracranial atherosclerosis (ICAS), often requiring rescue therapy (RT) with balloon angioplasty, stenting, or both. In this study, we investigate the safety, efficacy, and long‐term outcomes of RT in the setting of mechanical thrombectomy for ICAS‐related ELVO. Methods and Results We queried the databases of 10 thrombectomy‐capable centers in North America and Europe included in STAR (Stroke Thrombectomy and Aneurysm Registry). Patients with ELVO who underwent ICAS‐related RT were included. A matched sample was produced for variables of age, admission National Institute of Health Stroke Scale, Alberta Stroke Program Early CT Score, onset to groin puncture time, occlusion site, and final recanalization. Out of 3025 patients with MT, 182 (6%) patients required RT because of underlying ICAS. Balloon angioplasty was performed on 122 patients, and 117 patients had intracranial stenting. In the matched analysis, 141 patients who received RT matched to a similar number of controls. The number of thrombectomy passes was higher (3 versus 1, P<0.001), and procedural time was longer in the RT group (52 minutes versus 36 minutes, P=0.004). There was a higher rate of symptomatic hemorrhagic transformation in the RT group (7.8% versus 4.3%, P=0.211), however, the difference was not significant. There was no difference in 90‐day modified Rankin scale of 0 to 2 (44% versus 47.5%, P=0.543) between patients in the RT and control groups. Conclusions In patients with ELVO with underlying ICAS requiring RT, despite longer procedure time and a more thrombectomy passes, the 90 days favorable outcomes were comparable with patients with embolic ELVO. |
| abstractGer |
Background Some emergent large vessel occlusions (ELVOs) are refractory to reperfusion because of underlying intracranial atherosclerosis (ICAS), often requiring rescue therapy (RT) with balloon angioplasty, stenting, or both. In this study, we investigate the safety, efficacy, and long‐term outcomes of RT in the setting of mechanical thrombectomy for ICAS‐related ELVO. Methods and Results We queried the databases of 10 thrombectomy‐capable centers in North America and Europe included in STAR (Stroke Thrombectomy and Aneurysm Registry). Patients with ELVO who underwent ICAS‐related RT were included. A matched sample was produced for variables of age, admission National Institute of Health Stroke Scale, Alberta Stroke Program Early CT Score, onset to groin puncture time, occlusion site, and final recanalization. Out of 3025 patients with MT, 182 (6%) patients required RT because of underlying ICAS. Balloon angioplasty was performed on 122 patients, and 117 patients had intracranial stenting. In the matched analysis, 141 patients who received RT matched to a similar number of controls. The number of thrombectomy passes was higher (3 versus 1, P<0.001), and procedural time was longer in the RT group (52 minutes versus 36 minutes, P=0.004). There was a higher rate of symptomatic hemorrhagic transformation in the RT group (7.8% versus 4.3%, P=0.211), however, the difference was not significant. There was no difference in 90‐day modified Rankin scale of 0 to 2 (44% versus 47.5%, P=0.543) between patients in the RT and control groups. Conclusions In patients with ELVO with underlying ICAS requiring RT, despite longer procedure time and a more thrombectomy passes, the 90 days favorable outcomes were comparable with patients with embolic ELVO. |
| abstract_unstemmed |
Background Some emergent large vessel occlusions (ELVOs) are refractory to reperfusion because of underlying intracranial atherosclerosis (ICAS), often requiring rescue therapy (RT) with balloon angioplasty, stenting, or both. In this study, we investigate the safety, efficacy, and long‐term outcomes of RT in the setting of mechanical thrombectomy for ICAS‐related ELVO. Methods and Results We queried the databases of 10 thrombectomy‐capable centers in North America and Europe included in STAR (Stroke Thrombectomy and Aneurysm Registry). Patients with ELVO who underwent ICAS‐related RT were included. A matched sample was produced for variables of age, admission National Institute of Health Stroke Scale, Alberta Stroke Program Early CT Score, onset to groin puncture time, occlusion site, and final recanalization. Out of 3025 patients with MT, 182 (6%) patients required RT because of underlying ICAS. Balloon angioplasty was performed on 122 patients, and 117 patients had intracranial stenting. In the matched analysis, 141 patients who received RT matched to a similar number of controls. The number of thrombectomy passes was higher (3 versus 1, P<0.001), and procedural time was longer in the RT group (52 minutes versus 36 minutes, P=0.004). There was a higher rate of symptomatic hemorrhagic transformation in the RT group (7.8% versus 4.3%, P=0.211), however, the difference was not significant. There was no difference in 90‐day modified Rankin scale of 0 to 2 (44% versus 47.5%, P=0.543) between patients in the RT and control groups. Conclusions In patients with ELVO with underlying ICAS requiring RT, despite longer procedure time and a more thrombectomy passes, the 90 days favorable outcomes were comparable with patients with embolic ELVO. |
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| title_short |
Outcomes of Rescue Endovascular Treatment of Emergent Large Vessel Occlusion in Patients With Underlying Intracranial Atherosclerosis: Insights From STAR |
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https://doi.org/10.1161/JAHA.120.020195 https://doaj.org/article/2ee02b3ba8d540b08ad8d5c572875900 https://www.ahajournals.org/doi/10.1161/JAHA.120.020195 https://doaj.org/toc/2047-9980 |
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Eyad Almallouhi Ali Alawieh Stacey Wolfe Kyle M. Fargen Adam S. Arthur Nitin Goyal Travis Dumont Peter Kan Joon‐Tae Kim Reade De Leacy Ilko Maier Joshua Osbun Ansaar Rai Pascal Jabbour Jonathan A. Grossberg Min S. Park Robert M. Starke Roberto Crosa Alejandro M. Spiotta |
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Eyad Almallouhi Ali Alawieh Stacey Wolfe Kyle M. Fargen Adam S. Arthur Nitin Goyal Travis Dumont Peter Kan Joon‐Tae Kim Reade De Leacy Ilko Maier Joshua Osbun Ansaar Rai Pascal Jabbour Jonathan A. Grossberg Min S. Park Robert M. Starke Roberto Crosa Alejandro M. Spiotta |
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RC - Internal Medicine |
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10.1161/JAHA.120.020195 |
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2024-07-03T13:38:51.926Z |
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| score |
7.4005575 |