Table 2

Neurovascular, procedural and short term clinical outcome details of individual patients

Initial clot	AOL^*	Time^† (min)	Residual location	TICI^‡	FER	HT^‡‡	Imaging	NIHSS improvement^¶	mRS^¶	Reason for termination	Additional data
Successful proximal recanalization
ICA-L	2	405	Distal M1	IIa	Y		5 h MRA	13	1	Max dose	Adjuvant IA Reopro
ICA-L	3	355	Distal M1	IIb	Y	HI2	5 h MRA	−18	6	Futile
ICA-T	2	570	Mid-M1	IIa	P	PH2^§	5 h MRA	9	5	Futile	Aspirin
Tandem	2	147	Proximal M1	0	Y		5 h MRA	2	4	Technical difficulties	Distal clot at ICA terminus; heparin
Tandem	3	506	Proximal M1	I^**	P	HI1	5 h MRA	8	5	Technical difficulties	CAS only; pressors
Tandem	2	360	Distal M1	IIb	Y	HI1	24 h CTA	15	1	Max dose	IA tPA only; heparin
Tandem	3	315	Mid-M1	IIb^**	Y	PH1^§	5 h MRA	12	1	Good flow	CAS only; aspirin
ICA-L^††	3	450	Distal M1	IIb	N	HI2	5 h MRA	19	4	UTA (2 pulls)	Failed IV tPA
ICA-L	2	190	Distal M1	IIa	N		5 h MRA	−23	6	UTA (3 pulls)
ICA-L^††	3	534	Distal M1	I	N	HI2	5 h MRA	−17	6	Technical difficulties	CAS+Merci; aspirin
ICA-L^††	2	585	Proximal M1	IIa	N	HI1	16 h MRA	−4	4	Complication	CAS+Merci; aspirin; pressors
ICA-L	3	290	Distal M1	0	N	PH2^§	9 h MRA	12	4	Complication
Failed proximal recanalization
ICA-T	0	330	Same		N		24 h CTA	−3	6
ICA-T	0	430	Same		N		24 h MRA	−23	6		Aspirin
ICA-T	1	265	Same		N	HI1	5 h MRA	9	6		Pressors
Tandem	0	250	Same		N	UTA	24 h TCD	−19	5
ICA-T	1	380	Same		N		5 h MRA	−21	6

↵* Recanalization score of proximal ICA aspect of clot.
↵† Time from symptom onset to intervention.
↵‡ Reperfusion of residual MCA clot.
↵§ Symptomatic HT.
↵¶ At time of discharge. Negative NIHSS numbers reflect a neurological worsening at the time of discharge.
↵** Spontaneous recanalization of the MCA seen after CAS.
↵†† The entire extracranial and intracranial ICA to the terminus was occluded in three patients.
↵‡‡ HI1, HI2, PH1, PH2=types of HT classified according to the European Cooperative Acute Stroke Study (ECASS) definition.9
AOL, arterial occlusive lesion; CAS, carotid angioplasty and stenting; CTA, computed tomographic angiography; FER, facilitated endogenous recanalization at 24 h; HT, hemorrhagic transformation; IA, intra-arterial; ICA-T and ICA-L, contiguous intracranial internal carotid–middle cerebral artery; IV, intravenous; M1, horizontal segment of the middle cerebral artery; MRA, magnetic resonance angiography; mRS, modified Rankin score; NIHSS, National Institutes of Health Stroke Scale; P, partial FER; Tandem, tandem extracranial internal carotid–middle cerebral artery; TCD, transcranial Doppler ultrasonography; TICI, Thrombolysis in Cerebral Ischemia23; tPA, tissue plasminogen activator; UTA, unable to assess.