Rescue intracranial permanent stenting for refractory occlusion following thrombectomy: a propensity matched analysis

Heloise Ifergan; Cyril Dargazanli; Wagih Ben Hassen; Jean-Francois Hak; Benjamin Gory; Julien Ognard; Kevin Premat; Gaultier Marnat; Basile Kerleroux; François Zhu; Guillaume Bellanger; Peter B Sporns; Guillaume Charbonnier; Géraud Forestier; Jildaz Caroff; Cédric Fauché; Frédéric Clarençon; Kevin Janot; Bertrand Lapergue; Gregoire Boulouis; Sarah Adam; Amira Al Raaisi; Sonia Alamowitch; Lionel Alb; Jean-François Albucher; Pierre Louis Alexandre; Quentin Alias; Francerené Anxionnat; Caroline Arquizan; Gérard Audibert; Guillaume Ballan; Alexandre Bani-Sadr; Stephanie Bannier; Laura Baptiste; Charlotte Barbier; Flore Baronnet; Xavier Barreau; Bruno Thierry Barroso; Grégoire Barthel; Edouard Beaufreton; Marine Beaumont; Yannick Bejot; Charline Benoit; Jérome Berge; Patricia Bernady; Corentin Berthet; Yves Berthezene; Mehdi Beyragued; Richard Bibi; Alessandra Biondi; Raphaël Blanc; William Boisseau; Clémentine Bonaz; Louise Bonnet; Fabrice Bonneville; Laure Bottin; Benjamin Bouamra; Kamel Boubagra; Jean Bouchart; Marion Boulanger; Grégoire Boulouis; Romain Bourcier; Frédéric Bourdain; Nathalie Bourgois; Abdelghani Fakhreddine Boustia; Arnaud Bretonniere; Madalina Brezeanu; Pierre Briau; Marie Bruguet; Julien Burel; Federico Cagnazzo; Hélène Cailliez; Lionel Calviere; Matteo Cappucci; Hélène Castagnet; Nathalie Caucheteux; Emmanuel Chabert; Vanessa Chalumeau; Stéphane Charara; Olivier Chassin; François Chedeville; Bailiang Chen; Cyril Chivot; Tae-Hee Cho; Frédéric Clarencon; Julien Cogez; Christophe Cognard; Pierre Olivier Comby; Arturo Consoli; Jordan Coris; Jonathan Cortese; Lucas Corti; Oguzhan Coskun; Vincent Costalat; Thomas Courret; Audrey Courselle; Sophie Crozier; Pauline Cuisenier; Camille Dahan; Jean Darcourt; Benjamin Daumas Duport; Solene De Gaalon; Séverine Debiais; Sabrina Debruxelles; Kevin Delaforge; Stephen Delorme; François Delvoye; Stéphanie Demasles; Christian Denier; Anne-Laure Derelle; Laurent Derex; Imad Derraz; Hubert Desal; Xavier Desdoit; Jean-Philippe Desilles; Olivier Detante; Federico Di Maria; Marian Douarinou; Alexandre Doucet; Gaulthier Duloquin; Shotar Eimad; Omer Eker; Emmanuel Ellie; Simon Escalard; François Eugene; Serge Evrard; Isabelle Favre Wiki; Manuel Fernandez; Jean-Christophe Ferre; Anna Ferrier; Andrea Filip; Olivier Flabeau; Julia Fontaine; Louis Fontaine; Sophie Gallas; Grégory Gascou; Marie Gaudron; Jean-Yves Gauvrit; Christophe Gelmini; Jean-Christophe Gentric; Sam Ghazanfari; Roxana Gheoca; Jean Baptiste Girot; Philippe Goas; Sophie Godard; Alexis Gonnet; Lucas Gorza; Sophie Guettier; Maud Guillen; Benoît Guillon; Olivier Heck; Marc Hermier; David Higue; Julien Hissier; Vi-Tuan Hua; Régis Hubrecht; Lisa Humbertjean-Selton; Héloïse Ifergan; Leon Ikka; Waliyde Jabeur; Anne Christine Januel; Jérémy Jouan; Aurore Jourdain; Adrian Kastler; Garambois Katia; Vincent L’allinec; Estelle La Porte; Jean-Christophe Lacour; Quentin Laferte; Laurent Lagoarde-Segot; Chantal Lamy; Thibault Lapotre; Maria Veronica Lassalle; Morgane Laubacher; Valérie Lauer; Karine Lavandier; Arnaud Le Guen; Anthony Lebras; Alderic Lecluse; Sara Leder; Margaux Lefebvre; Pierre-Henri Lefevre; Anne Leger; Nicolas Legris; Loic Legris; Brivale Lemogne; Stéphanie Lenck; Cédric Lenoble; Zoé Lepine; Liang Liao; Jean-Sébastien Liegey; Arthur Lionnet; Elie Lteif; Ludovic Lucas; Mehdi Mahmoudi; Benjamin Maier; Cécile Malrain; Pierre-François; Raluca Marasescu; Denis Marechal; Evelyne Massardier; Agnès Masson; Mikael Mazhigi; Laura Mechtouff; François-Mathias Merrien; Cristian Mihalea; Gioia Mione; Elisabeth Molinier; Ricardo Moreno; Solène Moulin; Thierry Moulin; Charbel Mounayer; Isabelle Mourand; Olivier Naggara; Thi-Ngoc-Phuong Nguyen; Norbert Nighoghossian; Stephane Olindo; Jean-Marc Olivot; Elodie Ong; Elisa Ouin; Augustin Ozanne; Ozlem Ozkul-Wermester; Paolo Pagano; Laurentiu Paiusan; Chrysanthi Papagiannaki; Jean Papaxanthos; Lisa Papillon; Pauline Paris; Anne Pasco-Papon; Marco Pasi; Benoit Pegat; Irène Pierre-Paul; Michel Piotin; Silvia Pizzuto; Sophie Planel; Iona Podar; Mathilde Poli; Raoul Pop; Julia Potenza; Cécile Preterre; Sabine Prud’hon; Véronique Quenardelle; Nicolas Raposo; Marie Raquin; Lucie Rascle; Nicolas Raybaud; Hocine Redjem; Marie Reitter; Pauline Renou; Sébastien Richard; Johann Sebastian Richter; Frédéric Ricolfi; Roberto Riva; Georges Rodesch; Christine Rodriguez-Regent; Thomas Ronziere; Charlotte Rosso; Aymeric Rouchaud; Pierre Yves Rousseau; Ameli Roxanna; Valérie Ruche; Sharmila Sagnier; Maher Sahnoun; Fabrizio Salaris; Suzana Saleme; Mariana Sarov; Emmanuelle Schmitt; Romain Schneckenburger; Isabelle Serre; Alessandro Sgreccia; Igor Sibon; Stanislas Smajda; Sébastien Soize; Antoine Soulages; Nader Sourour; Laurent Spelle; Adriana Tabarna; Philippe Tall; Maia Tchikviladze; Adrien Ter Schiphorst; Guillaume Tessier; Pierre Thouant; Serge Timsit; Thomas Tourdias; Emmanuel Touze; Clément Tracol; Aude Triquenot; Denis Trystram; Malwina Trzeciak; Guillaume Turc; Françis Turjman; Stephane Vannier; Christine Vassilev; Laura Venditti; Louis Veunac; Irina Viakhireva; Jérémie Vial; Alain Viguier; Denis Vivien; Marcela Voicu; Adrien Wang; David Weisenburger-Lile; Anthony Wietrich; Aymeric Wittwer; Valérie Wolff; Marion Yger; Abderrahim Zerroug; Thibault Agripnidis; Julien Allard; Mariam Annan; Valère Barrot; Amel Benali; Marc Bintner; Wilson Bizimana; Federico Bolognini; Julien Boucherit; Martin Bretzner; Vladimir Charron; Mourad Cheddad El Aouni; Petru Florin Coltea; Pierre-Olivier Comby; Maxime Drai; Victor Dumas; Vincent Durous; Ahmed-Ali El Ahmadi; Abderrahim El Houfia; Mahmoud Elhorany; Sérine Ferhat; Florent Gariel; Sébastien Gazzola; Clara Gilbert; Jean-Baptiste Girot; Alexis Guedon; Jean-François Hak; Riyad Hanafi; Denis Herbreteau; Clémence Hoche; Quentin Holay; Paul Janvier; Erwah Kalsoum; Finoana Laza Nomenjanahary; Pierre-François Manceau; Maichael Mekhail; Patrice Menegon; Dan Sorin Mihoc; Samuel Mouyal; Chama Naciri; Soumia Nasri; Nezha Ouazzani; Zineb Ouslim; Panagiotis Primikris; Marios Psychogios; Alias Quentin; Nicolas Raynaud; Anthony Reyre; Carlos Riquelme; Marina Sachet; Jacques Sedat; Eimad Shotar; Florence Tahon; Benoit Testud; Sergio Vancheri; Stéphane Velasco; Sivadji Vingadassalom; Giovanni Vitale; Riccardo Zannoni; JENI Res Collaborative

doi:10.1136/jnis-2022-020012

Retour

$Rescue intracranial permanent stenting for refractory occlusion following thrombectomy: a propensity matched analysis$

Article de revue

Avec comité de lecture

Rescue intracranial permanent stenting for refractory occlusion following thrombectomy: a propensity matched analysis

Heloise Ifergan, Cyril Dargazanli, Wagih Ben Hassen, Jean-Francois Hak, Benjamin Gory, Julien Ognard, Kevin Premat, Gaultier Marnat, Basile Kerleroux, François Zhu, …

Journal of neurointerventional surgery, Vol.16(2), pp.115-123

01/02/2024

DOI: https://doi.org/10.1136/jnis-2022-020012

PMID: 37080770

Résumé

Artery

Ischemic stroke

Stenosis

Stent

Stroke

Thrombectomy

BackgroundRescue intracranial stenting (RIS) can be used in refractory large vessel occlusion (LVO) after mechanical thrombectomy (MT). We aimed to assess the safety and efficacy of RIS versus a propensity matched sample of patients with persistent LVO.MethodsWe retrospectively analysed a multicenter retrospective pooled cohort of patients with anterior LVO (2015−2021) treated with MT, and identified patients with at least three passes and a modified Thrombolysis In Cerebral Infarction (mTICI) score of 0 to 2a. Propensity score matching was used to account for determinants of outcome in patients with or without RIS. The study outcomes included 3 months modified Rankin Scale (mRS) and symptomatic hemorrhagic transformation (HT).Results420 patients with a refractory anterior occlusion were included, of which 101 were treated with RIS (mean age 69 years). Favorable outcome (mRS 0–2) was more frequent in patients with a patent stent at day 1 (53% vs 6%, P<0.001), which was independently associated with an early dual antiplatelet regimen (P<0.05). In the propensity matched sample, patients treated with RIS versus without RIS had similar rates of favorable outcomes (36.8% vs 30.3%, P=0.606). Patients with RIS showed a favorable shift in the overall mRS distributions (common adjusted OR 0.74, 95% CI 0.60 to 0.91, P=0.006). Symptomatic HT was marginally more frequent in the RIS group (9% vs 3%, P=0.07), and there was no difference in 3-month mortality.ConclusionIn selected patients with a refractory intracranial occlusion despite at least three thrombectomy passes, RIS may be associated with an overall shift towards more favorable clinical outcome, and no significant increase in the odds of symptomatic HT or death.

Indicateurs

1 Consultations de la notice

See more details

Détails

Titre: Rescue intracranial permanent stenting for refractory occlusion following thrombectomy: a propensity matched analysis
Créateurs - sans rôle: Heloise Ifergan - Diagnostic and Interventional Neuroradiology, University Hospital of Tours, Tours, Centre, France
Cyril Dargazanli - Diagnostic and Interventional Neuroradiology, University Hospital Centre Montpellier, Montpellier, Occitanie, France
Wagih Ben Hassen - Diagnostic and Interventional Neuroradiology, Saint Anne Hospital Centre, Paris, France
Jean-Francois Hak - Diagnostic and Interventional Neuroradiology, Hospital Timone, University Hospital of Marseille, Marseille, France
Benjamin Gory - Centre Hospitalier Régional et Universitaire de Nancy
Julien Ognard - Diagnostic and Interventional Neuroradiology, University and Regional Hospital Centre Brest, Brest, France
Kevin Premat - Diagnostic and Interventional Neuroradiology, University Hospital of Pitié Salpêtrière, APHP, Paris, France
Gaultier Marnat - Diagnostic and Interventional Neuroradiology, University Hospital of Bordeaux, Bordeaux, France
Basile Kerleroux - Diagnostic and Interventional Neuroradiology, Saint Anne Hospital Centre, Paris, France
François Zhu - Diagnostic and Interventional Neuroradiology, University Hospital of Nancy, Nancy, France
Guillaume Bellanger - Diagnostic and Interventional Neuroradiology, University Hospital of Toulouse, Toulouse, France
Peter B Sporns - Diagnostic and Interventional Neuroradiology, University Hospital of Basel, Basel, Switzerland
Guillaume Charbonnier - Diagnostic and Interventional Neuroradiology, University Hospital of Besançon, Besancon, France
Géraud Forestier - Diagnostic and Interventional Neuroradiology, University Hospital of Limoges, Limoges, France
Jildaz Caroff - Department of Interventional Neuroradiology - NEURI Brain Vascular Center, Bicêtre Hospital, APHP, Le Kremlin Bicêtre, France
Cédric Fauché - Diagnostic and Interventional Neuroradiology, University Hospital of Poitiers, Poitiers, France
Frédéric Clarençon - Diagnostic and Interventional Neuroradiology, University Hospital of Pitié Salpêtrière, APHP, Paris, France
Kevin Janot - Diagnostic and Interventional Neuroradiology, University Hospital of Tours, Tours, Centre, France
Bertrand Lapergue - Neurology, Stroke Center, University of Versailles and Saint Quentin en Yvelines, Foch Hospital, Suresnes, France
Gregoire Boulouis - Diagnostic and Interventional Neuroradiology, University Hospital of Tours, Tours, Centre, France
Sarah Adam
Amira Al Raaisi
Sonia Alamowitch
Lionel Alb
Jean-François Albucher
Pierre Louis Alexandre
Quentin Alias
Francerené Anxionnat
Caroline Arquizan
Gérard Audibert
Guillaume Ballan
Alexandre Bani-Sadr
Stephanie Bannier
Laura Baptiste
Charlotte Barbier
Flore Baronnet
Xavier Barreau
Bruno Thierry Barroso
Grégoire Barthel
Edouard Beaufreton
Marine Beaumont
Yannick Bejot
Guillaume Bellanger
Wagih Ben Hassen
Charline Benoit
Jérome Berge
Patricia Bernady
Corentin Berthet
Yves Berthezene
Mehdi Beyragued
Richard Bibi
Alessandra Biondi
Raphaël Blanc
William Boisseau
Clémentine Bonaz
Louise Bonnet
Fabrice Bonneville
Laure Bottin
Benjamin Bouamra
Kamel Boubagra
Jean Bouchart
Marion Boulanger
Grégoire Boulouis
Romain Bourcier
Frédéric Bourdain
Nathalie Bourgois
Abdelghani Fakhreddine Boustia
Arnaud Bretonniere
Madalina Brezeanu
Pierre Briau
Marie Bruguet
Julien Burel
Federico Cagnazzo
Hélène Cailliez
Lionel Calviere
Matteo Cappucci
Jildaz Caroff
Hélène Castagnet
Nathalie Caucheteux
Emmanuel Chabert
Vanessa Chalumeau
Stéphane Charara
Guillaume Charbonnier
Olivier Chassin
François Chedeville
Bailiang Chen
Cyril Chivot
Tae-Hee Cho
Frédéric Clarencon
Julien Cogez
Christophe Cognard
Pierre Olivier Comby
Arturo Consoli
Jordan Coris
Jonathan Cortese
Lucas Corti
Oguzhan Coskun
Vincent Costalat
Thomas Courret
Audrey Courselle
Sophie Crozier
Pauline Cuisenier
Camille Dahan
Jean Darcourt
Cyril Dargazanli
Benjamin Daumas Duport
Solene De Gaalon
Séverine Debiais
Sabrina Debruxelles
Kevin Delaforge
Stephen Delorme
François Delvoye
Stéphanie Demasles
Christian Denier
Anne-Laure Derelle
Laurent Derex
Imad Derraz
Hubert Desal
Xavier Desdoit
Jean-Philippe Desilles
Olivier Detante
Federico Di Maria
Marian Douarinou
Alexandre Doucet
Gaulthier Duloquin
Shotar Eimad
Omer Eker
Emmanuel Ellie
Simon Escalard
François Eugene
Serge Evrard
Isabelle Favre Wiki
Manuel Fernandez
Jean-Christophe Ferre
Anna Ferrier
Andrea Filip
Olivier Flabeau
Julia Fontaine
Louis Fontaine
Géraud Forestier
Sophie Gallas
Grégory Gascou
Marie Gaudron
Jean-Yves Gauvrit
Christophe Gelmini
Jean-Christophe Gentric
Sam Ghazanfari
Roxana Gheoca
Jean Baptiste Girot
Philippe Goas
Sophie Godard
Alexis Gonnet
Benjamin Gory
Lucas Gorza
Sophie Guettier
Maud Guillen
Benoît Guillon
Olivier Heck
Marc Hermier
David Higue
Julien Hissier
Vi-Tuan Hua
Régis Hubrecht
Lisa Humbertjean-Selton
Héloïse Ifergan
Leon Ikka
Waliyde Jabeur
Kevin Janot
Anne Christine Januel
Jérémy Jouan
Aurore Jourdain
Adrian Kastler
Garambois Katia
Basile Kerleroux
Vincent L’allinec
Estelle La Porte
Jean-Christophe Lacour
Quentin Laferte
Laurent Lagoarde-Segot
Chantal Lamy
Bertrand Lapergue
Thibault Lapotre
Maria Veronica Lassalle
Morgane Laubacher
Valérie Lauer
Karine Lavandier
Arnaud Le Guen
Anthony Lebras
Alderic Lecluse
Sara Leder
Margaux Lefebvre
Pierre-Henri Lefevre
Anne Leger
Nicolas Legris
Loic Legris
Brivale Lemogne
Stéphanie Lenck
Cédric Lenoble
Zoé Lepine
Liang Liao
Jean-Sébastien Liegey
Arthur Lionnet
Elie Lteif
Ludovic Lucas
Mehdi Mahmoudi
Benjamin Maier
Cécile Malrain
Pierre-François; Raluca Marasescu
Denis Marechal
Gaultier Marnat
Evelyne Massardier
Agnès Masson
Mikael Mazhigi
Laura Mechtouff
François-Mathias Merrien
Cristian Mihalea
Gioia Mione
Elisabeth Molinier
Ricardo Moreno
Solène Moulin
Thierry Moulin
Charbel Mounayer
Isabelle Mourand
Olivier Naggara
Thi-Ngoc-Phuong Nguyen
Norbert Nighoghossian
Julien Ognard
Stephane Olindo
Jean-Marc Olivot
Elodie Ong
Elisa Ouin
Augustin Ozanne
Ozlem Ozkul-Wermester
Paolo Pagano
Laurentiu Paiusan
Chrysanthi Papagiannaki
Jean Papaxanthos
Lisa Papillon
Pauline Paris
Anne Pasco-Papon
Marco Pasi
Benoit Pegat
Irène Pierre-Paul
Michel Piotin
Silvia Pizzuto
Sophie Planel
Iona Podar
Mathilde Poli
Raoul Pop
Julia Potenza
Kevin Premat
Cécile Preterre
Sabine Prud’hon
Véronique Quenardelle
Nicolas Raposo
Marie Raquin
Lucie Rascle
Nicolas Raybaud
Hocine Redjem
Marie Reitter
Pauline Renou
Sébastien Richard
Johann Sebastian Richter
Frédéric Ricolfi
Roberto Riva
Georges Rodesch
Christine Rodriguez-Regent
Thomas Ronziere
Charlotte Rosso
Aymeric Rouchaud
Pierre Yves Rousseau
Ameli Roxanna
Valérie Ruche
Sharmila Sagnier
Maher Sahnoun
Fabrizio Salaris
Suzana Saleme
Mariana Sarov
Emmanuelle Schmitt
Romain Schneckenburger
Isabelle Serre
Alessandro Sgreccia
Igor Sibon
Stanislas Smajda
Sébastien Soize
Antoine Soulages
Nader Sourour
Laurent Spelle
Adriana Tabarna
Philippe Tall
Maia Tchikviladze
Adrien Ter Schiphorst
Guillaume Tessier
Pierre Thouant
Serge Timsit
Thomas Tourdias
Emmanuel Touze
Clément Tracol
Aude Triquenot
Denis Trystram
Malwina Trzeciak
Guillaume Turc
Françis Turjman
Stephane Vannier
Christine Vassilev
Laura Venditti
Louis Veunac
Irina Viakhireva
Jérémie Vial
Alain Viguier
Denis Vivien
Marcela Voicu
Adrien Wang
David Weisenburger-Lile
Anthony Wietrich
Aymeric Wittwer
Valérie Wolff
Marion Yger
Abderrahim Zerroug
François Zhu
Thibault Agripnidis
Julien Allard
Mariam Annan
Valère Barrot
Amel Benali
Marc Bintner
Wilson Bizimana
Federico Bolognini
Julien Boucherit
Martin Bretzner
Vladimir Charron
Mourad Cheddad El Aouni
Petru Florin Coltea
Pierre-Olivier Comby
Maxime Drai
Victor Dumas
Vincent Durous
Ahmed-Ali El Ahmadi
Abderrahim El Houfia
Mahmoud Elhorany
Sérine Ferhat
Florent Gariel
Sébastien Gazzola
Clara Gilbert
Jean-Baptiste Girot
Alexis Guedon
Jean-François Hak
Riyad Hanafi
Denis Herbreteau
Clémence Hoche
Quentin Holay
Paul Janvier
Erwah Kalsoum
Finoana Laza Nomenjanahary
Pierre-François Manceau
Maichael Mekhail
Patrice Menegon
Dan Sorin Mihoc
Samuel Mouyal
Chama Naciri
Soumia Nasri
Nezha Ouazzani
Zineb Ouslim
Panagiotis Primikris
Marios Psychogios
Alias Quentin
Nicolas Raynaud
Anthony Reyre
Carlos Riquelme
Marina Sachet
Jacques Sedat
Eimad Shotar
Florence Tahon
Benoit Testud
Sergio Vancheri
Stéphane Velasco
Sivadji Vingadassalom
Giovanni Vitale
Riccardo Zannoni
JENI Res Collaborative
Détails de publication: Journal of neurointerventional surgery, Vol.16(2), pp.115-123
Éditeur: BMJ Publishing Group Ltd
Nombre de pages: 9
Identifiants: 99163083609311
Unité académique: Institut de Génomique Fonctionnelle - IGF; Recherche hors université
Langue: English
Type de ressource: Journal article