RT Journal Article
SR Electronic
T1 Efficacy and safety of rescue stenting following failed mechanical thrombectomy for anterior circulation large vessel occlusion: propensity score analysis
JF Journal of NeuroInterventional Surgery
JO J NeuroIntervent Surg
FD BMJ Publishing Group Ltd.
SP 271
OP 273
DO 10.1136/neurintsurg-2019-015154
VO 12
IS 3
A1 Feng Peng
A1 Junfang Wan
A1 Wenhua Liu
A1 Wenguo Huang
A1 Li Wang
A1 Tao Qiu
A1 Shiquan Yang
A1 Qiang Shi
A1 Shuai Zhang
A1 Guoyong Zeng
A1 Yan Wang
A1 Zhibin Ai
A1 Yong Liu
A1 Wei Hu
A1 Changming Wen
A1 Zhonghua Shi
A1 Jie Pu
A1 Zhongmin Qiu
A1 Deping Wu
A1 Zili Gong
A1 Jie Shuai
A1 Qingwu Yang
A1 Wenjie Zi
A1 Fengli Li
YR 2020
UL http://jnis.bmj.com/content/12/3/271.abstract
AB Purpose To evaluate the effectiveness and safety of rescue stenting (RS) after failed mechanical thrombectomy (MT) for patients with large artery occlusion in the anterior circulation.Methods Consecutive patients who experienced failed reperfusion and subsequently did or did not undergo RS at 16 comprehensive stroke centers were enrolled from January 2015 to June 2018. Propensity score matching was used to achieve baseline balance between the patient groups. Symptomatic intracranial hemorrhage (sICH) at 48 hours and the modified Rankin Scale scores and mortality at 3 months in the two groups were compared.Results A total of 90 patients with RS and 117 patients without RS after failed MT were enrolled. Propensity score matching analysis selected 132 matched patients. The good outcome rate was significantly higher in matched patients with RS than in those without RS (36.4% vs 19.7%, p=0.033), whereas the sICH (13.6% vs 21.2%, p=0.251) and mortality (31.9% vs 43.9%, p=0.151) were not significantly different between the groups.Conclusions RS seems to be an effective safe choice for patients with large vessel occlusion of the anterior circulation who underwent failed MT.