{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T08:16:52Z","timestamp":1780474612481,"version":"3.54.1"},"reference-count":34,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2018,3,21]],"date-time":"2018-03-21T00:00:00Z","timestamp":1521590400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Chinese Postdoctoral Science Fund","award":["2015M572815"],"award-info":[{"award-number":["2015M572815"]}]},{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["81400898"],"award-info":[{"award-number":["81400898"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["81400993"],"award-info":[{"award-number":["81400993"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["81571143"],"award-info":[{"award-number":["81571143"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["81671172"],"award-info":[{"award-number":["81671172"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Interv Neuroradiol"],"published-print":{"date-parts":[[2018,8]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The objective of this article is to compare the effectiveness of primary angioplasty and\/or stenting with stent retriever thrombectomy in acute anterior large-vessel occlusion due to atherosclerotic disease.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Patients were retrospectively reviewed from the endovascular treatment for acute anterior circulation ischemic stroke registry. Patients with large-vessel occlusions due to atherosclerosis were selected. We evaluated modified Rankin Scale (mRS) score at 90 days, modified thrombolysis in cerebral infarction (mTICI) score immediately post-procedure, and symptomatic and asymptomatic intracranial hemorrhage within 72 hours.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of 302 patients with acute anterior circulation occlusion due to atherosclerotic disease, 269 were treated with stent retriever thrombectomy as first-line therapy and 33 with angioplasty and\/or stenting. Patients who received primary angioplasty treatment showed favorable independent outcome at 90 days (69.7% (23\/33) vs 47.6% (128\/269), p\u2009=\u20090.02) and lower rate of asymptomatic intracranial hemorrhage (9.1% (3\/23) vs 30.5% (82\/269), p\u2009=\u20090.01). Recanalization immediately post procedure did not differ (78.8%% (26\/33) vs 86.2% (232\/269), p\u2009=\u20090.29). Primary angioplasty therapy (OR, 0.27; 95% confidence interval (CI): 0.08\u20130.90; p\u2009=\u20090.03) and small baseline infarct (OR 0.36: 0.16\u20130.82; p\u2009=\u20090.02) were protective factors against poor functional outcome, while old age (OR 1.04:1.01\u20131.07; p\u2009=\u20090.006), severe neurological deficits (OR 3.76: 2.00\u20137.07; p\u2009&lt;\u20090.001), and high glucose (OR 1.11: 1.01\u20131.23; p\u2009=\u20090.03) were associated with poor prognosis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Patients with acute anterior circulation large-vessel occlusion due to atherosclerosis may benefit from urgent angioplasty and\/or stenting as first-line therapy. Randomized controlled trials are warranted.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1591019918763380","type":"journal-article","created":{"date-parts":[[2018,3,22]],"date-time":"2018-03-22T01:14:19Z","timestamp":1521681259000},"page":"412-420","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":46,"title":["Primary angioplasty and stenting may be superior to thrombectomy for acute atherosclerotic large-artery occlusion"],"prefix":"10.1177","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2695-0499","authenticated-orcid":false,"given":"Dong","family":"Yang","sequence":"first","affiliation":[{"name":"Department of Neurology, Jinling Hospital, Second Military Medical University, Nanjing, Jiangsu Province, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Min","family":"Lin","sequence":"additional","affiliation":[{"name":"Department of Neurology, Fuzhou General Hospital of Nanjing Military Region, Fuzhou, Fujian Province, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shuiping","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Neurology, The 123rd Hospital of The People\u2019s Liberation Army, Bengbu, Anhui Province, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Huaiming","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Neurology, Jinling Hospital, Second Military Medical University, Nanjing, Jiangsu Province, China"},{"name":"Department of Neurology, The 89th Hospital of The People\u2019s Liberation Army, Weifang, Shandong Province, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yonggang","family":"Hao","sequence":"additional","affiliation":[{"name":"Department of Neurology, Jinling Hospital, Southern Medical University, Nanjing, Jiangsu Province, China"},{"name":"Department of Emergency Medicine, The First 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