{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T18:15:13Z","timestamp":1791656113467,"version":"4.3.4"},"reference-count":38,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"5","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["JAHA"],"published-print":{"date-parts":[[2020,3,3]]},"abstract":"<jats:sec xml:lang=\"en\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p xml:lang=\"en\">Stent\u2010retriever thrombectomy is the first\u2010line therapy in acute stroke with intracranial large vessel occlusion. In case of failure of stent\u2010retriever thrombectomy, rescue stent angioplasty might be the only treatment option to achieve permanent recanalization. This study aims at identifying predictors for poor outcome and complications in a large, multicenter cohort receiving rescue stent angioplasty.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec xml:lang=\"en\">\n                    <jats:title>Methods and Results<\/jats:title>\n                    <jats:p xml:lang=\"en\">\n                      We performed a retrospective analysis of patients with large vessel occlusion who were treated with rescue stent angioplasty after stent\u2010retriever thrombectomy between 2012 and 2018 in 7 neurovascular centers. We defined 2 binary outcomes: (1) functional clinical outcome (good modified Rankin Scale, 0\u20132; and poor modified Rankin Scale, 4\u20136) and (2) early symptomatic intracerebral hemorrhage. Impacts of clinical, radiological, and interventional parameters on\u00a0outcomewere assessed in uni\u2010 and multivariable logistic regression models. Two hundred ten patients were included with target vessels\u00a0located within the anterior circulation (136 of 210; 64.8%) and posterior circulation (74 of 210; 35.2%). Symptomatic intracerebral hemorrhage occured in 22 patients, 86.4% (19 of 22) after anterior and 13.6% (3 of 22) after posterior circulation large vessel occlusion. Good functional outcome was observed in 44.8% (73 of 163). A higher National Institutes of Health\u00a0Stroke Scale on admission (adjusted odds ratio, 1.10;\n                      <jats:italic>P=<\/jats:italic>\n                      0.002), a higher premorbid modified Rankin Scale (adjusted odds ratio, 2.02;\n                      <jats:italic>P<\/jats:italic>\n                      =0.049), and a modified Thrombolysis in Cerebral Infarction score of 0 to 2a after stenting (adjusted odds ratio, 23.24;\n                      <jats:italic>P<\/jats:italic>\n                      &lt;0.001) were independent predictors of poor functional outcome.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec xml:lang=\"en\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p xml:lang=\"en\">Use of rescue stent angioplasty can be considered for acute intracranial large vessel occlusion in cases after unsuccessful stent\u2010retriever thrombectomy. Likelihood of symptomatic intracerebral hemorrhage is higher in anterior circulation stroke.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1161\/jaha.119.012795","type":"journal-article","created":{"date-parts":[[2020,3,3]],"date-time":"2020-03-03T05:00:23Z","timestamp":1583211623000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":57,"title":["Emergency Intracranial Stenting in Acute Stroke: Predictors for Poor Outcome and for Complications"],"prefix":"10.1161","volume":"9","author":[{"given":"Christian Paul","family":"Stracke","sequence":"first","affiliation":[{"name":"Department of Intracranial Endovascular Therapy Alfried\u2010Krupp Krankenhaus Hospital Essen Germany"},{"name":"Department of Diagnostic and Interventional Neuroradiology University Medical Center Hamburg\u2010Eppendorf Hamburg 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