{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T14:30:26Z","timestamp":1790173826981,"version":"4.1.0"},"reference-count":30,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2023,8,22]],"date-time":"2023-08-22T00:00:00Z","timestamp":1692662400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Interv Neuroradiol"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The optimal management of emergent large vessel occlusion due to underlying intracranial stenosis (intracranial stenosis related large vessel occlusion) remains unknown. The primary aim of this survey analysis was to measure variation in the clinical management of intracranial stenosis related large vessel occlusion during mechanical thrombectomy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A survey was designed using a web-based survey-building platform and distributed via the Society of NeuroInterventional Surgery (SNIS) and the Society of Vascular and Interventional Neurology (SVIN) websites for a response. Predictors of respondents\u2019 level of comfortability stenting were estimated using a binomial logistic regression model.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>We received 105 responses to the survey. Most respondents (54.3%) practiced at an academic Stroke Center. Nearly half of the respondents (49%) had been practicing for 5 or more years independently after fellowship. An average of 54 mechanical thrombectomies were performed by each respondent annually. There was variation in the definition of intracranial stenosis related large vessel occlusion, number of passes performed before pursuing rescue stenting, as well as intra and post-procedural antiplatelet management. Of respondents, 58% felt rescue stenting was very risky, and 55.7% agreed that there was equipoise regarding emergent angioplasty and\/or stenting versus medical therapy for intracranial stenosis related large vessel occlusion. Respondents who encountered intracranial stenosis related large vessel occlusion more frequently thought that rescue stenting was less risky.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>There is notable variability in the diagnosis and management of intracranial stenosis related large vessel occlusion during mechanical thrombectomy. While most respondents felt rescue stenting was risky, the majority believed the benefit could outweigh the risk. The majority of respondents agreed that equipoise exists regarding the management of intracranial stenosis related large vessel occlusion, highlighting the need for clinical trials in this rare patient population.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15910199231196618","type":"journal-article","created":{"date-parts":[[2023,8,22]],"date-time":"2023-08-22T09:57:11Z","timestamp":1692698231000},"page":"12-18","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":7,"title":["Management of intracranial arterial stenosis during mechanical thrombectomy: Survey of neuro-interventionalists"],"prefix":"10.1177","volume":"32","author":[{"given":"Sami Al","family":"Kasab","sequence":"first","affiliation":[{"name":"Medical University of South Carolina"},{"name":"Medical University of South Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8632-8570","authenticated-orcid":false,"given":"Ashley","family":"Nelson","sequence":"additional","affiliation":[{"name":"Medical University of South Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kyle","family":"Fargen","sequence":"additional","affiliation":[{"name":"Wake Forest University"},{"name":"Wake Forest University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2810-1685","authenticated-orcid":false,"given":"Thanh","family":"Nguyen","sequence":"additional","affiliation":[{"name":"Boston Medical Center"},{"name":"Boston Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Colin","family":"Derdeyn","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of Iowa, Iowa City, IA, USA"},{"name":"Department of Radiology, University of Iowa, Iowa City, IA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maxim","family":"Mokin","sequence":"additional","affiliation":[{"name":"University of South Florida"},{"name":"University of South Florida"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8325-2382","authenticated-orcid":false,"given":"Muhammed A","family":"Essibayi","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Montefiore Medical Center, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9000-6083","authenticated-orcid":false,"given":"Ramesh","family":"Grandhi","sequence":"additional","affiliation":[{"name":"University of Utah"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Osama O","family":"Zaidat","sequence":"additional","affiliation":[{"name":"Department of Neurology, Mercy Health-St. Vincent Medical Center, Toledo, OH, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adam","family":"DeHavenon","sequence":"additional","affiliation":[{"name":"Yale School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,8,22]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.120.029949"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.109.561787"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1093\/neuros\/nyz042"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.3389\/fneur.2017.00651."},{"key":"e_1_3_2_6_2","doi-asserted-by":"crossref","DOI":"10.1161\/STR.0000000000000211","article-title":"Guidelines for the early management of patients with acute ischemic stroke: 2019 update to the 2018 guidelines for the early management of acute ischemic stroke: a guideline for healthcare professionals from the American heart association\/American stroke association","volume":"50","author":"Powers WJ","year":"2019","unstructured":"Powers WJ, Rabinstein AA, Ackerson T, et al. Guidelines for the early management of patients with acute ischemic stroke: 2019 update to the 2018 guidelines for the early management of acute ischemic stroke: a guideline for healthcare professionals from the American heart association\/American stroke association. Stroke 2019; 50: e344\u2013e418.","journal-title":"Stroke"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1136\/jnis-2022-019777."},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.26.1.14"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.5853\/jos.2014.16.1.8"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1161\/strokeaha.122.040008."},{"key":"e_1_3_2_11_2","article-title":"The society of vascular and interventional neurology (SVIN) mechanical thrombectomy registry: methods and primary results","volume":"2","author":"Haussen DC","year":"2022","unstructured":"Haussen DC, Al-Bayati AR, Mohammaden MH, et al. The society of vascular and interventional neurology (SVIN) mechanical thrombectomy registry: methods and primary results. Stroke: Vasc Interventional Neurol 2022; 2: e000234.","journal-title":"Stroke: Vasc Interventional Neurol"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.119.024889"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.3171\/2022.12.Jns222152."},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1136\/jnis-2022-019382."},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.5853\/jos.2017.00626"},{"key":"e_1_3_2_16_2","article-title":"Basilar artery occlusion thrombectomy technique: an international survey of practice patterns\u2020","volume":"3","author":"Klein P","year":"2023","unstructured":"Klein P, Herning A, Drumm B, et al. Basilar artery occlusion thrombectomy technique: an international survey of practice patterns\u2020. Stroke: Vasc Interventional Neurol 2023; 3: e000642.","journal-title":"Stroke: Vasc Interventional Neurol"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1105335"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.1161\/SVIN.121.000129"},{"key":"e_1_3_2_19_2","article-title":"Rescue endovascular treatment of patients with emergent large vessel occlusion attributed to intracranial atherosclerosis: a systematic review and meta\u2013analysis","volume":"3","author":"Almallouhi E","year":"2023","unstructured":"Almallouhi E, Murad MH, Chalhoub R, et al. Rescue endovascular treatment of patients with emergent large vessel occlusion attributed to intracranial atherosclerosis: a systematic review and meta\u2013analysis. 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