{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T14:30:17Z","timestamp":1790173817696,"version":"4.1.0"},"reference-count":30,"publisher":"BMJ","issue":"2","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["J NeuroIntervent Surg"],"accepted":{"date-parts":[[2023,3,25]]},"published-print":{"date-parts":[[2024,2]]},"abstract":"<jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Rescue 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.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>We retrospectively analysed a multicenter retrospective pooled cohort of patients with anterior LVO (2015\u22122021) 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).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>420 patients with a refractory anterior occlusion were included, of which 101 were treated with RIS (mean age 69 years). Favorable outcome (mRS 0\u20132) was more frequent in patients with a patent stent at day 1 (53% vs 6%, P&lt;0.001), which was independently associated with an early dual antiplatelet regimen (P&lt;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.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>In 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.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/jnis-2022-020012","type":"journal-article","created":{"date-parts":[[2023,4,20]],"date-time":"2023-04-20T13:25:18Z","timestamp":1681997118000},"page":"115-123","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":16,"title":["Rescue intracranial permanent stenting for refractory occlusion following thrombectomy: a propensity matched analysis"],"prefix":"10.1136","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6582-6581","authenticated-orcid":false,"given":"Heloise","family":"Ifergan","sequence":"first","affiliation":[{"name":"Diagnostic and Interventional Neuroradiology, University Hospital of Tours, Tours, Centre, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cyril","family":"Dargazanli","sequence":"additional","affiliation":[{"name":"Diagnostic and Interventional Neuroradiology, University Hospital Centre Montpellier, Montpellier, Occitanie, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wagih","family":"Ben Hassen","sequence":"additional","affiliation":[{"name":"Diagnostic and Interventional Neuroradiology, Saint Anne Hospital Centre, Paris, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0225-7876","authenticated-orcid":false,"given":"Jean-Francois","family":"Hak","sequence":"additional","affiliation":[{"name":"Diagnostic and Interventional Neuroradiology, Hospital Timone, University Hospital of Marseille, Marseille, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benjamin","family":"Gory","sequence":"additional","affiliation":[{"name":"Department of Diagnostic and Therapeutic Neuroradiology, University of Lorraine, INSERM U1254, IADI, F-54000, University Hospital of Nancy, Nancy, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4495-7464","authenticated-orcid":false,"given":"Julien","family":"Ognard","sequence":"additional","affiliation":[{"name":"Diagnostic and Interventional Neuroradiology, University and Regional Hospital Centre Brest, Brest, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevin","family":"Premat","sequence":"additional","affiliation":[{"name":"Diagnostic and Interventional Neuroradiology, University Hospital of Piti\u00e9 Salp\u00eatri\u00e8re, APHP, Paris, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7611-7753","authenticated-orcid":false,"given":"Gaultier","family":"Marnat","sequence":"additional","affiliation":[{"name":"Diagnostic and Interventional Neuroradiology, University Hospital of Bordeaux, Bordeaux, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0642-3955","authenticated-orcid":false,"given":"Basile","family":"Kerleroux","sequence":"additional","affiliation":[{"name":"Diagnostic and Interventional Neuroradiology, Saint Anne Hospital Centre, Paris, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3838-9608","authenticated-orcid":false,"given":"Fran\u00e7ois","family":"Zhu","sequence":"additional","affiliation":[{"name":"Diagnostic and Interventional Neuroradiology, University Hospital of Nancy, Nancy, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guillaume","family":"Bellanger","sequence":"additional","affiliation":[{"name":"Diagnostic and Interventional Neuroradiology, University Hospital of Toulouse, Toulouse, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3028-0539","authenticated-orcid":false,"given":"Peter B","family":"Sporns","sequence":"additional","affiliation":[{"name":"Diagnostic and Interventional Neuroradiology, University Hospital of Basel, Basel, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4425-3849","authenticated-orcid":false,"given":"Guillaume","family":"Charbonnier","sequence":"additional","affiliation":[{"name":"Diagnostic and Interventional Neuroradiology, University Hospital of Besan\u00e7on, Besancon, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4797-9693","authenticated-orcid":false,"given":"G\u00e9raud","family":"Forestier","sequence":"additional","affiliation":[{"name":"Diagnostic and Interventional Neuroradiology, University Hospital of Limoges, Limoges, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0029-1835","authenticated-orcid":false,"given":"Jildaz","family":"Caroff","sequence":"additional","affiliation":[{"name":"Department of Interventional Neuroradiology - NEURI Brain Vascular Center, Bic\u00eatre Hospital, APHP, Le Kremlin Bic\u00eatre, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C\u00e9dric","family":"Fauch\u00e9","sequence":"additional","affiliation":[{"name":"Diagnostic and Interventional Neuroradiology, University Hospital of Poitiers, Poitiers, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fr\u00e9d\u00e9ric","family":"Claren\u00e7on","sequence":"additional","affiliation":[{"name":"Diagnostic and Interventional Neuroradiology, University Hospital of Piti\u00e9 Salp\u00eatri\u00e8re, APHP, Paris, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7305-3125","authenticated-orcid":false,"given":"Kevin","family":"Janot","sequence":"additional","affiliation":[{"name":"Diagnostic and Interventional Neuroradiology, University Hospital of Tours, Tours, Centre, 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Rescue stenting in mechanical thrombectomy refractory occlusions: a single center multiethnic cohort [internet]. 2022. 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Rescue intracranial stenting in acute ischemic stroke [internet]. 2021. 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P64 NIMBUS geometric clot extractor for tough clots: SPERO study results and clot composition. Internet. 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