Intra-arterial thrombolysis treated patients with acute ischemic stroke due to cervical artery dissection
ID | Age (years) | Transfer | Baseline NIHSS | CeAD type | Intracranial thrombus | IVT | IAT procedures | CeAD recanalization | Intracranial embolus recanalization | Discharge mRS |
---|---|---|---|---|---|---|---|---|---|---|
1 | 40–49 | Yes | 0 | Vertebral | Yes | No | IA lytic, thrombectomy, stent | Successful | TICI 3 | 6 |
2 | 50–59 | Yes | 12 | Carotid | Yes | Prior | Angioplasty, IA lytic, thrombectomy, stent | Successful | TICI 3 | 3 |
3 | 60–69 | Yes | 19 | Carotid | Yes | Prior | Stent | Successful | TICI 3 | 3 |
4 | 40–49 | Yes | 27 | Carotid | No | Prior | Stent | Successful | N/A | 2 |
5 | 60–69 | Yes | 13 | Carotid | Yes | No | IA lytic, thrombectomy | Non-flow limiting | Unsuccessful | 3 |
6 | 80–89 | Yes | . | Vertebral | Yes | No | IA lytic, thrombectomy | Left occluded | TICI 3 | 6 |
7 | 40–49 | Yes | . | Vertebral* | Yes | No | IA lytic, thrombectomy | Successful | TICI 3 | 2 |
8 | 50–59 | Yes | 15 | Carotid | Yes | No | Angioplasty, IA lytic, thrombectomy, stent | Successful | TICI 2b | 4 |
9 | 70–79 | No | 9 | Vertebral* | Yes | No | Angioplasty, IA lytic, thrombectomy, stent | Successful | 2b†/Unsuccessful | 6 |
10 | 50–59 | Yes | 12 | Carotid | Yes | Prior | Thrombectomy, stent | Successful | TICI 3 | 2 |
11 | 40–49 | No | 24 | Carotid | Yes | No | IA lytic, stent | Successful | TICI 3 | 4 |
12 | 50–59 | Yes | 14 | Carotid | Yes | Yes | Angioplasty, IA lytic, thrombectomy, stent | Successful | TICI 2b | 4 |
13 | 40–49 | No | 10 | Carotid | Yes | Yes | Thrombectomy, stent | Successful | TICI 2b | 4 |
14 | 30–39 | Yes | 16 | Carotid | Yes | No | IA lytic, stent, thrombectomy | Left occluded | 2b | 3 |
15 | 40–49 | Yes | 12 | Carotid | Yes | Prior | IA lytic, thrombectomy | Non-flow limiting | TICI 2b | 1 |
16 | 60–69 | Yes | 11 | Carotid* | Yes | No | Thrombectomy | Successful | TICI 3 | 3 |
17 | 20–29 | Yes | . | Vertebral | Yes | No | Thrombectomy | Left occluded | 2b | 5 |
18 | 60–69 | Yes | 15 | Carotid | Yes | Prior | IA lytic, thrombectomy, stent | Successful | TICI 2b | 4 |
19 | 40–49 | Yes | 33 | Vertebral | Yes | Prior | Thrombectomy | Successful | TICI 2b | 3 |
20 | 50–59 | Yes | 6 | Carotid | Yes | No | Angioplasty, IA lytic, thrombectomy | Non-flow limiting | TICI 2b | 4 |
21 | 50–59 | Yes | 23 | Carotid | Yes | No | Angioplasty, IA lytic, stent | Successful | TICI 3 | 6 |
22 | 50–59 | No | 13 | Carotid | Yes | No | Angioplasty, IA lytic, stent | Successful | TICI 3 | 3 |
23 | 50–59 | Yes | 15 | Carotid | Yes | Prior | IA lytic, thrombectomy | Non-flow limiting | TICI 2b | 4 |
24 | 30–39 | Yes | 12 | Carotid | Yes | Prior | IA lytic, thrombectomy | Non-flow limiting | TICI 3 | 4 |
*Bilateral dissections. †Patient No 9 had successful restoration of flow and then re-thrombosed 2 days later, with unsuccessful recanalization of re-thrombosis.
CeAD, cervical artery dissection; IAT, intra-arterial thrombolysis, IVT, intravenous thrombolysis; mRS, modified Rankin score; NIHSS, National Institutes of Health Stroke Scale; TICI, Thrombolysis in Cerebral Infarction.