{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T11:15:34Z","timestamp":1789038934186,"version":"build-2803163510"},"reference-count":21,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2025,6,1]],"date-time":"2025-06-01T00:00:00Z","timestamp":1748736000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"},{"start":{"date-parts":[[2025,6,1]],"date-time":"2025-06-01T00:00:00Z","timestamp":1748736000000},"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":[],"published-print":{"date-parts":[[2025,6,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Acute intracranial occlusion of the internal carotid artery (ICA) can be distinguished into (a) occlusion of the terminal ICA, involving the proximal segments of the middle or anterior cerebral artery (ICA-L\/-T) and (b) non-terminal intracranial occlusions of the ICA with patent circle of Willis (ICA-I). While patients with ICA-L\/-T occlusion were included in all randomized controlled trials on endovascular therapy (EVT) in anterior large vessel occlusion, data on EVT in ICA-I occlusion is scarce. We thus aimed to evaluate effectiveness and safety of EVT in ICA-I occlusions in comparison to ICA-L\/-T occlusions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A large international multicentre cohort was searched for patients with intracranial ICA occlusion treated with EVT between 2014 and 2023. Patients were stratified by ICA occlusion pattern, differentiating ICA-I and ICA-L\/-T occlusions. Baseline factors, technical (modified thrombolysis in cerebral infarction (mTICI) scale) and functional outcomes (modified Rankin scale [mRS] at 3\u2009months) as well as rates of (symptomatic) intracranial hemorrhage ([s]ICH) were analyzed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Of 13,453 patients, 1825 (13.6%) had isolated ICA occlusion. ICA-occlusion pattern was ICA-I in 559 (4.2%) and ICA-L\/-T in 1266 (9.4%) patients. Age (years: 74 vs 73), sex (female: 45.8% vs 49.0%) and pre-stroke functional independency (pre-mRS\u2009\u2a7d\u20092: 89.9% vs 92.2%) did not differ between the groups. Stroke severity was lower in ICA-I patients (NIHSS at admission: 14 [7\u201319] vs 17 [13\u201321] points). EVT was similarly successful with respect to technical (mTICI2b\/3: 76.1% (ICA-I) vs 76.6% (ICA-L\/-T); aOR 1.01 [0.76\u20131.35]) and functional outcome (mRS ordinal shift cOR 1.01 [0.83\u20131.23] in adjusted analyses. Rates of ICH (18.9% vs 34.5%; aOR 0.47 [0.36\u20130.62] and sICH (4.7% vs 7.3%; aOR 0.58 [0.35\u20130.97] were lower in ICA-I patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>EVT might be performed safely and similarly successful in patients with ICA-I occlusions as in patients with ICA-L\/-T occlusions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/23969873241278948","type":"journal-article","created":{"date-parts":[[2024,10,30]],"date-time":"2024-10-30T07:45:17Z","timestamp":1730274317000},"page":"406-415","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Endovascular therapy in patients with acute intracranial non-terminal internal carotid artery occlusion (ICA-I)"],"prefix":"10.1093","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2478-3500","authenticated-orcid":false,"given":"Christoph","family":"Riegler","sequence":"first","affiliation":[{"name":"Department of Neurology, Charit\u00e9 \u2013 Universit\u00e4tsmedizin Berlin, Corporate member of Freie Universit\u00e4t Berlin and Humboldt Universit\u00e4t zu Berlin, Berlin, Germany 1"},{"name":"Center for Stroke Research Berlin (CSB), Charit\u00e9 \u2013 Universit\u00e4tsmedizin Berlin, Bern, Germany 2"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Regina","family":"von Rennenberg","sequence":"additional","affiliation":[{"name":"Department of Neurology, Charit\u00e9 \u2013 Universit\u00e4tsmedizin Berlin, Corporate member of Freie Universit\u00e4t Berlin and Humboldt Universit\u00e4t zu Berlin, Berlin, Germany 1"},{"name":"Center for Stroke Research Berlin (CSB), Charit\u00e9 \u2013 Universit\u00e4tsmedizin Berlin, Bern, Germany 2"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kerstin","family":"Bollweg","sequence":"additional","affiliation":[{"name":"Department of Neurology, Charit\u00e9 \u2013 Universit\u00e4tsmedizin Berlin, Corporate member of Freie Universit\u00e4t Berlin and Humboldt Universit\u00e4t zu Berlin, Berlin, Germany 1"},{"name":"Center for Stroke Research Berlin (CSB), Charit\u00e9 \u2013 Universit\u00e4tsmedizin Berlin, Bern, Germany 2"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eberhard","family":"Siebert","sequence":"additional","affiliation":[{"name":"Department of Neuroradiology, Charit\u00e9 - Universit\u00e4tsmedizin Berlin, Berlin, Germany, Corporate member of Freie Universit\u00e4t Berlin and Humboldt-Universit\u00e4t zu Berlin, Berlin, Germany 3"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gian Marco","family":"de Marchis","sequence":"additional","affiliation":[{"name":"Department of Neurology, Kantonsspital St. Gallen, St. Gallen, Switzerland 4"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Georg","family":"K\u00e4gi","sequence":"additional","affiliation":[{"name":"Department of Neurology, Kantonsspital St. Gallen, St. Gallen, Switzerland 4"},{"name":"Department of Neurology, Inselspital, Bern University Hospital and University of Bern, Bern, Switzerland 5"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pasquale","family":"Mordasini","sequence":"additional","affiliation":[{"name":"Department of Neurology, Inselspital, Bern University Hospital and University of Bern, Bern, Switzerland 5"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mirjam R","family":"Heldner","sequence":"additional","affiliation":[{"name":"Department of Neurology, Inselspital, Bern University Hospital and University of Bern, Bern, Switzerland 5"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mauro","family":"Magoni","sequence":"additional","affiliation":[{"name":"Department of Neurological Sciences and Vision, ASST Spedali Civili, Brescia, Italy 6"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8629-3315","authenticated-orcid":false,"given":"Alessandro","family":"Pezzini","sequence":"additional","affiliation":[{"name":"Department of Medicine and Surgery, University of Parma, Stroke Care Program; Department of Emergency, Parma University Hospital, Parma, Italy 7"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8494-5527","authenticated-orcid":false,"given":"Alexander","family":"Salerno","sequence":"additional","affiliation":[{"name":"Stroke Center, Neurology Service, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland 8"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrik","family":"Michel","sequence":"additional","affiliation":[{"name":"Stroke Center, Neurology Service, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland 8"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christoph","family":"Globas","sequence":"additional","affiliation":[{"name":"Department of Neurology, University Hospital Zurich and University of Zurich, Zurich, Switzerland 9"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4369-7023","authenticated-orcid":false,"given":"Susanne","family":"Wegener","sequence":"additional","affiliation":[{"name":"Department of Neurology, University Hospital Zurich and University of Zurich, Zurich, Switzerland 9"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8489-7051","authenticated-orcid":false,"given":"Nicolas","family":"Martinez-Majander","sequence":"additional","affiliation":[{"name":"Neurology, University of Helsinki and Helsinki University Hospital, Helsinki, Finland 10"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sami","family":"Curtze","sequence":"additional","affiliation":[{"name":"Neurology, University of Helsinki and Helsinki University Hospital, Helsinki, Finland 10"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria Luisa","family":"Dell\u2019Acqua","sequence":"additional","affiliation":[{"name":"Stroke Unit, Department of Neuroscience, Ospedale Civile di Baggiovara, Modena University Hospital, Modena, Italy 11"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guido","family":"Bigliardi","sequence":"additional","affiliation":[{"name":"Stroke Unit, Department of Neuroscience, 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13"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6126-8305","authenticated-orcid":false,"given":"Visnja","family":"Padjen","sequence":"additional","affiliation":[{"name":"Neurology Clinic, Clinical Centre of Serbia, Faculty of Medicine, University of Belgrade, Belgrade, Serbia 13"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Issa","family":"Metanis","sequence":"additional","affiliation":[{"name":"Department of Neurology, Hadassah-Hebrew University Medical Center, Jerusalem, Israel 14"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4794-0334","authenticated-orcid":false,"given":"Ronen R.","family":"Leker","sequence":"additional","affiliation":[{"name":"Department of Neurology, Hadassah-Hebrew University Medical Center, Jerusalem, Israel 14"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giovanni","family":"Bianco","sequence":"additional","affiliation":[{"name":"Stroke Center and department of Neurology, Neurocenter of Southern Switzerland, EOC, Lugano, Switzerland 15"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carlo W","family":"Cereda","sequence":"additional","affiliation":[{"name":"Stroke Center and department of Neurology, Neurocenter of Southern Switzerland, EOC, Lugano, Switzerland 15"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rosario","family":"Pascarella","sequence":"additional","affiliation":[{"name":"Neuroradiology Unit, Azienda Unit\u00e0 Sanitaria Locale-IRCCS di Reggio Emilia, Reggio Emilia, Italy 16"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marialuisa","family":"Zedde","sequence":"additional","affiliation":[{"name":"Neurology Unit-Stroke Unit, Azienda Unit\u00e0 Sanitaria Locale-IRCCS di Reggio Emilia, Reggio Emilia, Italy 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